The workplace and cardiovascular disease:
Gespeichert in:
Format: | Buch |
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Sprache: | English |
Veröffentlicht: |
Philadelphia
Hanley & Belfus
2000
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Schriftenreihe: | Occupational medicine
15,1 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XI, 334 S. graph. Darst. |
ISBN: | 1560533250 |
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adam_text | Occupational Medicine: State of the Art Reviews
Vol. 15, No. 1, January March 2000
THE WORKPLACE AND CARDIOVASCULAR DISEASE
Peter L. Schnall, MD, MPH, Karen Belkic, MD, PhD, Msci,
Paul Landsbergis, PhD, MPH, and Dean Baker, MD, MPH, Editors
CONTENTS
1. Why the Workplace and Cardiovascular Disease? 1
Peter Schnall, Karen Belkic, Paul Landsbergis, Dean Baker
Cardiovascular disease (CVD) remains the major cause of morbidity and mortal¬
ity in the industrialized world. Current approaches to managing the CVD epi¬
demic are based on powerful engineering models and advanced medical
techniques. Innovative research has identified a number of risk factors for hyper¬
tension and CVD. However, our understanding of these disorders and our ability
to manage the epidemic remain limited. A social epidemiologic paradigm sug¬
gests that essential hypertension and CVD are diseases of industrialized society
of rather recent historical origins. To better understand and manage the CVD epi¬
demic, current models need to incorporate a heretofore relatively neglected realm
of social life in the workplace. Occup Med 15:1 6, 2000
2. Research Findings Linking Workplace Factors to CVD Outcomes 7
Shift Work, Long Hours, and CVD: A Review Kyle Steenland
Chemical and Physical Factors Lawrence Fine
Psychosocial Factors: Review of the Empirical Data Among Men
Karen Belkic, Paul Landsbergis, Peter Schnall, Dean Baker,
Tores Theorell, Johannes Siegrist, Richard Peter, and Robert Karasek
Social Class, Occupational Status, and CVD Michael Marmot
Women, Work, and Cardiovascular Disease Chantal Brisson
High Risk Occupations for Cardiovascular Disease Finn Tuchsen
Occup Med 15:7 68, 2000
3. Stressors at the Workplace: Theoretical Models 69
A Historical Overview Lennart Levi
Social Class and Power Relations at the Workplace Mel Bartley,
Michael Marmot
The Demand Control Support Model and CVD Tores Theorell,
Robert Karasek
The Effort Reward Imbalance Model Johannes Siegrist, Richard Peter
Dehumanization Versus Humanization of Work: Insights from Cognitive
Ergonomics and Brain Research Karen Belkic, Cedo Savic
Multiple Exposures: A Model of Total Occupational Burden Karen Belkic,
Peter Schnall, Cedo Savic, Paul Landsbergis
Occup Med 15:69 106,2000
iii
iv Contents
4. The Central Nervous System: Bridge Between the External Milieu
and the Cardiovascular System 107
The Environment Brain Heart Connection Stewart Wolf
The Forebrain: Central Stress Mechanisms and CV Responses
Karen Belkic
Occup Med 15:107 116, 2000
5. Evidence for Mediating Econeurocardiologic Mechanisms 117 i
Cardiac Electrical Stability and Environmental Stress Karen Belkic,
Mechanisms Leading to Hypertension and CV Morbidity Joseph Schwartz,
Karen Belkic, Peter Schnall, Thomas G. Pickering
Myocardial Oxygen Supply and Demand: Environmental Triggers
of Imbalance Karen Belkic
Atherogenesis, Coagulation, and Stress Andrew Steptoe, Michael Marmot
Neuroendocrine Mechanisms Tores Theorell
The Cardiovascular Metabolic Syndrome Eigil Fossum, Aud H0ieggen,
Andreas Moan, Morten Rostrup, Sverre E. Kjeldsen
Occup Med 15:117 162, 2000
6. Measurement of Psychosocial Workplace Exposure Variables 163
Self Report Questionnaires Paul Landsbergis, Tores Theorell
Imputation of Job Characteristics Scores Joseph Schwartz i
Expert Observer Assessment of Job Characteristics BirgitA. Greiner,
Niklas Krause
Conclusions and Recommendations Paul Landsbergis, Birgit A. Greiner,
Niklas Krause, Joseph Schwartz, Tores Theorell
Occup Med 15:163 188, 2000
7. Assessment of the Cardiovascular System at the Workplace 189
Obtaining a CVD History: Obstacles and Challenges Peter Schnall,
Karen Belkic
Blood Pressure Measurement: Casual, Self Measured, and Ambulatory
Monitoring Thomas G. Pickering
Ambulatory Electrocardiographs Monitoring: Stress Mediated Clinically
Relevant Endpoints Karen Belkic
Point Estimates of Blood Pressure at the Worksite Peter Schnall,
Karen Belkic
Occup Med 15:189 212, 2000
8. Cardiovascular Evaluation of the Worker and Workplace:
A Practical Guide for Clinicians 213
Karen Belkic, Peter Schnall, Mirjana Ugljesic
Unlike several other branches of medicine (e.g., pulmonology), primary cardiol¬
ogy has yet to fully develop a discipline of occupational cardiology. The authors
outline an approach for including a focused occupational history in the CV
work up and present a graded, risk stratified algorithm for occupational cardio
logic assessment. This work up can help clinicians make specific recommenda¬
tions concerning working conditions, as these impact upon the patient s CV
status. Occup Med 15:213 222, 2000
Contents v
9. Clinical Issues: Return to Work and Public Safety 223
Regis de Gaudemaris
Return to work after cardiac events is an especially delicate question for the clini¬
cian. The cardiologic caregiver must evaluate the full clinical picture, including
symptoms and morphological and functional status, as well as address complex
personal, psychological, social, economic, legal, and ethical issues. The importance
of job characteristics is illustrated by the existing, albeit limited, longitudinal data
showing that return to high strain work is a significant independent predictor of
mortality in young men post myocardial infarction. Occup Med 15:223 230,2000
10. Screening and Management of the Workplace for CVD Risk 231
Individual Stress Management: Effective or Not? Kenneth M. Nowack
Hypertension: Could Lowering Job Strain Be a Therapeutic Modality?
Peter Schnall
The Clinician s Role Samuel Melamed, Paul Froom
A Public Health Approach in Clinical Practice June Fisher, Karen Belkic
Occup Med 15:231 256, 2000
11. Costs of Occupational Circulatory Disease 257
J. Paul Leigh, Peter Schnall
This chapter analyzes the overt and hidden economic costs of work related car¬
diovascular diseases. Affected individuals and society at large, rather than em¬
ployers, pay much of the costs. Economic interventions to motivate public health
approaches to preventing CVD are explored. Occup Med 15:257 268,2000
12. Legal and Legislative Issues 269
Legislation To Protect Worker CV Health in Europe Lennart Levi
Chemical and Physical Exposure Regulations Lawrence Fine
Shift Work Regulations Kyle Steenland
U.S. Regulations for Work Organization Nick Warren
Working Life in Japan Teruichi Shimomitsu, Yuko Odagiri
Workers Compensation: Workplace Stress and the CVD Connection
Mark Kimmel
Collective Bargaining to Reduce CVD Risk Factors Paul Landsbergis
Occup Med 15:269 292,2000
13. Workplace Intervention Studies 293
Tage S. Kristensen
The author reviews and discusses several intervention studies with implications
for CVD or CV risk. The studies address chemical exposures, work schedules and
working hours, and psychosocial factors at work. Effective strategies for preven¬
tion of CVD at the workplace are based on intervention research and integrate
prevention at different levels. Occup Med 15:293 306, 2000
14. The Workplace and CV Health: Conclusions and Thoughts
for a Future Agenda 307
Karen Belkic, Peter Schnall, Paul Landsbergis, Dean Baker
The evidence in this book provides convergent validation of a causal relationship
between workplace stressors and CVD. Here, the editors explore new strategies
vi Contents
for enhanced prevention and clinical management, work place interventions, and
social policy to reduce the impact of CVD. These strategies acquire an urgent
public health dimension, given the magnitude of the CVD epidemic and the cur¬
rent deterioration in conditions of working life. Occup Med 15:307 322, 2000
Index 323
Note: Authors employed by the U.S. Government have expressed their own
views. Opinions and assertions contained herein are not to be construed as the
offlcal policy of the U.S. Government.
Reprints of individual articles may be requested from: Peter L. Schnall, MD,
Director, Center for Social Epidemiology, 1528 6th Street, Suite 202, Santa
Monica, CA 90401
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spelling | The workplace and cardiovascular disease guest eds.: Peter L. Schnall ... Philadelphia Hanley & Belfus 2000 XI, 334 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Occupational medicine 15,1 Hart- en vaatziekten gtt Werkomgeving gtt Cardiovascular Diseases etiology Cardiovascular system Diseases Prevention Industrial hygiene Job Satisfaction Stess, Psychological adverse effects Workplace Kardiovaskuläre Krankheit (DE-588)4024666-8 gnd rswk-swf Berufskrankheit (DE-588)4005920-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Kardiovaskuläre Krankheit (DE-588)4024666-8 s Berufskrankheit (DE-588)4005920-0 s DE-604 Schnall, Peter L. Sonstige oth Occupational medicine 15,1 (DE-604)BV000700973 15,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008851678&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | The workplace and cardiovascular disease Occupational medicine Hart- en vaatziekten gtt Werkomgeving gtt Cardiovascular Diseases etiology Cardiovascular system Diseases Prevention Industrial hygiene Job Satisfaction Stess, Psychological adverse effects Workplace Kardiovaskuläre Krankheit (DE-588)4024666-8 gnd Berufskrankheit (DE-588)4005920-0 gnd |
subject_GND | (DE-588)4024666-8 (DE-588)4005920-0 (DE-588)4143413-4 |
title | The workplace and cardiovascular disease |
title_auth | The workplace and cardiovascular disease |
title_exact_search | The workplace and cardiovascular disease |
title_full | The workplace and cardiovascular disease guest eds.: Peter L. Schnall ... |
title_fullStr | The workplace and cardiovascular disease guest eds.: Peter L. Schnall ... |
title_full_unstemmed | The workplace and cardiovascular disease guest eds.: Peter L. Schnall ... |
title_short | The workplace and cardiovascular disease |
title_sort | the workplace and cardiovascular disease |
topic | Hart- en vaatziekten gtt Werkomgeving gtt Cardiovascular Diseases etiology Cardiovascular system Diseases Prevention Industrial hygiene Job Satisfaction Stess, Psychological adverse effects Workplace Kardiovaskuläre Krankheit (DE-588)4024666-8 gnd Berufskrankheit (DE-588)4005920-0 gnd |
topic_facet | Hart- en vaatziekten Werkomgeving Cardiovascular Diseases etiology Cardiovascular system Diseases Prevention Industrial hygiene Job Satisfaction Stess, Psychological adverse effects Workplace Kardiovaskuläre Krankheit Berufskrankheit Aufsatzsammlung |
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