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Biomedical subjects

L Eskelinen

Publications and source records attributed to L Eskelinen.

17 recordsLinked to original sources

Response classification in psychological testing using a neural network.

A feedforward neural network with error backpropagation has been designed to recognize hand-drawn patterns in a cognitive test. The architecture uses both position and direction sensitivity in the input layer. The training set consisted of 659 icons which were shifted horizontally and vertically to give a total training set of 5931 icons. In testing on an independent set of 31,192 icons produced by 557 subjects from a Danish standard population sample, the rate of misclassification was 0.12% compared with an average rate of sequence errors of 1.6%.

Humans

Associations between functional capacity and work ability among elderly municipal employees.

The relationship between objectively measured physical and mental functional capacity and work ability was studied among 137 workers with a mean age of 55 years. Of the physical capacity tests muscular strength correlated the best with the constructed work ability index. Cardiorespiratory capacity and work ability did not correlate statistically significantly. About 50% of the subjects was classified uniformly, and less than 10% not uniformly, with respect to muscular strength. The correlation between cardiorespiratory capacity and work ability was significant for those without, but not for those with, a musculoskeletal disease. The mental capacity tests had systematically lower correlations with work ability than the tests for physical capacity. The highest statistically significant correlation was found between visuomotor speed and work ability. Objective measurements of muscular strength seem useful for defining work ability, but other tests need to be improved to be more work-related. Furthermore, musculoskeletal diseases should be checked for when cardiorespiratory capacity is assessed.

Aging

Work load and individual factors affecting work ability among aging municipal employees.

The effects of work stressors, individual characteristics, symptoms, and diseases on work ability were studied among 4255 municipal employees. Work ability was assessed by a work ability index in two cross-sectional inquiries, one in 1981 and the other in 1985. The most impairing for work ability were mental symptoms and musculoskeletal disease. Among the work stressors, high physical demands at work, poor physical work environment, and lack of freedom were associated with impaired work ability. Muscular work, disturbing temperatures at the workplace, and lack of freedom particularly affected employees with disease, whereas poor work postures and role conflicts at work were particularly injurious for healthy employees. The worst situation was observed when a worker with many symptoms and disease was exposed to many different work stressors. Life satisfaction, sitting work posture, a good basic education, and physical exercise during leisure time were associated with good work ability.

Cardiovascular Diseases

Summary and recommendations of a project involving cross-sectional and follow-up studies on the aging worker in Finnish municipal occupations (1981-1985).

This report is a summary of the main findings of 15 studies comprising a multidisciplinary research project. Recommendations are also made on the basis of the findings, and they emphasize the following points: (i) work demands should change with age, (ii) work should be designed for unhealthy people, (iii) work ability should be promoted, (iv) work ability should be regularly monitored, (v) special attention to stress reactions is needed, (vi) knowledge of aging is needed, and (vii) action programs are needed.

Aging

Changes in the content of Finnish municipal occupations over a four-year period.

The data of this study are based on questionnaire surveys made in 1981 and 1985. The sample consisted of 1799 men and 2456 women in the age range of 48-62 years. Physical demands were more common in 1985 than in 1981, and more common among the women than among the men. In addition problems with the physical-chemical environment were more common in 1985 and more common among the men. The changes in tasks were evaluated more often as positive than negative. The mental load had increased between 1981 and 1985 due to an increase in the amount of work and the knowledge needed at work. In addition changes in social contacts and client relations increased the mental load.

Aging

Mortality, disability and changes in occupation among aging municipal employees.

During a four-year follow-up period the indicators of work load, individual factors, and stress reactions predicting mortality, disability, and change of occupation were studied. In 1981, 6257 active workers aged 44-58 years answered a questionnaire. The study was repeated in 1985 when 1% of the subjects had died, 9% had become disabled, and 5% had changed their occupation. These changes had occurred the most often in occupations which included muscular work, poor work postures, and a poor physical environment. The highest mortality rate was observed for the male installation and auxiliary workers who had reported the presence of cardiovascular, but no musculoskeletal, disease four years earlier. The highest disability rate was well predicted by a poor index of work ability. Major diseases leading to disability included malignant tumor, coronary artery disease, congestive heart failure, rheumatoid arthritis, bronchitis or bronchial asthma, and mental disease. Work-related stress reactions were associated with both mortality and disability.

Cardiovascular Diseases

Prevalence and incidence rates of diseases and work ability in different work categories of municipal occupations.

The purpose of this study was to determine the relationship between the health status and work ability of individuals representing a variety of municipal occupations. In both 1981 and 1985, 4255 employees answered a postal questionnaire. The subjects, aged 44-58 years in 1981, were grouped into physical, mental, or mixed physical and mental job categories. Occupational groups with a high disease prevalence in 1981 had a high, and occupational groups with a low disease prevalence in 1981 a low, disease incidence during the follow-up period. In 1985 every second subject suffered from a musculoskeletal disease. The highest disease prevalence was observed for physically demanding occupations and for men in work with mixed physical and mental demands. Female auxiliary workers, domestic helpers and cooks, and also male installation and transport workers, had the poorest health. The men and women in mental work had the best health and work ability.

Cohort Studies

Background and objectives of the Finnish research project on aging workers in municipal occupations.

In Finland, the proportion of 45- to 64-year-old people in the work force is expected to increase from 31.1 to 40.1% between 1980 and 2000. A multidisciplinary study was carried out to test the factors of work, health, work ability, functional capacity, and perceived strain as criteria for determining new concepts for retirement age. The first phase of the project comprised cross-sectional studies in which the age of the 6257 working subjects ranged from 45 to 58 years. The second phase covered a four-year follow-up of these same subjects. The main results of the 15 various studies are given in separate articles. Recommendations for improving the work and promoting the work ability of the aging worker have been made on the basis of the findings of the project.

Aged

Effect of retirement on health and work ability among municipal employees.

A questionnaire was sent to 6257 active employees, mean age 50.5 years, in 1981, and again in 1985, when 4255 of the workers were still actively working, 402 had retired because of age, and 468 had retired for medical reasons. After retirement, regardless of reason or previous work content, the prevalence of musculoskeletal diseases changed little among the women but increased markedly among the men retired from mental work. Among the men retired from mental work because of age, the prevalence of cardiovascular diseases increased after retirement. After disability pensioning the prevalence of cardiovascular diseases increased for both the men and the women. The prevalence of poor work ability increased in all the work categories irrespective of the type of retirement. Work ability did not improve after old-age pensioning, but health status was improved among the men and women in some occupational groups. Therefore light, part-time work should not be excluded for retired people.

Cardiovascular Diseases

Symptoms of mental and physical stress in different categories of municipal work.

The aim of this study was to clarify the stability of differences in reactions to work stress in different municipal occupations. The subjects were 1799 men and 2456 women in the same occupation in 1981 and 1985. At the time of the follow-up in 1985 their age range was 48-62 years. On the basis of the work content, they were clustered into 13 profile groups. Long-term cardiorespiratory, musculoskeletal, and psychological symptoms and symptoms indicating immediate physical stress at work were used to measure stress reaction. The order of the profile groups with respect to harmful stress reactions was the same in both years. According to the first and also the follow-up questionnaire, harmful stress reactions were the most common in physical work and in some profile groups with mixed physical and mental work demands. Although these differences were the greatest for the reactions to physical stress, they were also seen for mental stress.

Cardiovascular Diseases

Work-related stress symptoms of aging employees in municipal occupations.

The objective of the study was to investigate the relationship between stress symptoms and work stressors among aging employees in municipal occupations. The subjects were 1799 men and 2456 women aged 48-62 years and representing 40 different occupations. Stress reactions were identified on the basis of long-term cardiorespiratory, musculoskeletal, and psychological symptoms. Work stressors were described by means of physical and mental work demands. Two factors describing the possibilities for regulating one's own work load were used as indicators for the adjustment of work according to individual capacities. The effect of work stressors on cardiovascular, musculoskeletal, and psychological symptoms was studied in separate analyses, controlling for the relevant disease group. Both chronic diseases and work stressors were related to the occurrence of symptoms. However, stress identified on the basis of symptoms was not only a phenomenon determined by health status. Work stressors and possibilities for regulating one's own work load were systematically related to symptom level.

Age Factors

Relationship between the self-assessment and clinical assessment of health status and work ability.

Clinical assessments of health status and work ability were compared with subjective assessments reported on a questionnaire. The clinical examinations included cardiorespiratory, musculoskeletal, and psychological measurements. The subjective work ability comprised an index based on estimations of work ability in relation to diseases, job demands, and psychological resources. For the clinical examinations 89 male and 85 female workers aged 44-58 years were selected according to health and subjective work ability as reported on the questionnaire. Half of the group was healthy and half suffered from either coronary artery disease (men) or low-back pain (women), and the subjective estimations of work ability varied from good to poor. The results indicated that the questionnaire responses on health and work ability related well with the clinically assessed factors at the group level. Some divergence was detected at the individual level, but it could usually be explained on the basis of the available data.

Attitude to Health

Acceptance of antibiotic mixtures by infants and children.

The acceptance by children of two pharmacologically identical phenoxymethyl-penicillin potassium and erythromycin ethylsuccinate mixtures, differing only in their flavouring agents, was compared in a randomised blind manner. The time a nurse required to give the drug to a child was recorded and a score of the acceptance was given by the nurse. The mean time to give erythromycin Brand 1 was 29 s (SD +/- 21, number of children = 20) and mean time to give Brand 2 it was 16 s (SD +/- 13, n = 18); the difference was significant (p less than 0.05). The mean scores were 2.9 (SD +/- 0.6) and 3.4 (SD +/- 0.5), difference -0.5 (p less than 0.025). The difference between the two penicillin products was not significant. The time required to give a medicine was a useful way to compare the effect of different flavouring mixtures on the acceptance of drugs by infants and children.

Child

Neuropsychological methods in the differentiation of organic solvent intoxication from certain neurological conditions.

Neuropsychological impairment and the subjective symptoms of 21 patients with organic solvent intoxication were compared with those of patients with vertebrobasilar insufficiency (n = 16), cerebral trauma (n = 16), and headache (n = 15). The aim was to study the diagnostic efficiency of psychological methods in the neuropsychological assessment of patients with suspected solvent intoxications. Our results suggest that it is possible to differentiate between the four groups at group level; however, because of the variance in each group, no specific rule for individual diagnostics can be given. At group level, a combination of three test variables and three symptom scales yielded the most effective discrimination. Instead of the raw scores, subscores for the individual tests as well as detailed use of the symptom questionnaire were informative when the groups were compared. This approach may also be applicable to individual diagnostics.

Brain Damage, Chronic

Complaints of insomnia in different occupations.

Complaints of insomnia were inquired about in a questionnaire survey of 6 268 persons (2 801 men; 3 467 women, mean age 50.5 years, range 45-57 years) in 40 different occupational groups. Among bus drivers 18.9% complained of having rather or very much difficulty falling asleep. Among female cleaners, male teachers, male directors, and male physicians the respective percentages were 18.8, 18.0, 3.7, and 4.9. Disturbed nocturnal sleep was complained of the most often by male laborers (28.1% waking up at least three times a night), female cleaners (26.6%) and female hospital aides (26.4%). Disturbed nocturnal sleep was rare among male physicians (1.6%), male directors (7.4%), female head nurses (8.9%), and female social workers (9.4%). Complaints of waking up too early in the morning were the most common among female laborers (13.2% often or always), male construction workers (9.1%), and female cleaners (8.4%). They were rare among male physicians (1.6%), male directors (1.8%), nurses in outpatient wards (1.2%), and female bathers (2.0%). Sleeping pills were used the most frequently by male gardeners (7.1% were frequent or habitual users), female social office workers (5.8%), and male construction workers (5.4%). Some aspects of work which could explain the differences are discussed.

Female

The Finnish Pain Questionnaire: comparison of descriptions of pain in coronary heart disease and low back pain.

The verbal description of pain is the method most commonly used to study pain symptoms. The Finnish Pain Questionnaire has not been standardized yet. It is impossible to know which descriptors are typical of certain states of pain and which descriptors differentiate states of pain from each other. The aims of this study was to clarify if it is possible to differentiate pain descriptions for coronary heart disease from descriptions for low back pain using the Finnish Pain Questionnaire and to compare the use of pain descriptors and subclasses of descriptors. The patients comprised 57 male patients with coronary heart disease (mean age 52.9 years) and 60 female patients with low back pain (mean age 52.0 years). The results indicated that different descriptors are important in descriptions of coronary heart disease pain and low back pain. The differences of frequencies in the use of descriptors were statistically significant. There were also significant differences in the use of descriptors from different subclasses of the sensory dimension, according to the mechanisms of pain. The results indicated that it is possible to find out which descriptors are the most important for different states of pain and that the Finnish Pain Questionnaire can be a valid method for describing different states of pain.

Back Pain

Behavioral effects of long-term exposure to a mixture of organic solvents.

The behavioral effects of long-term exposure to a mixture of organic solvents were investigated in a comparison of the test results of 100 car painters with those of a reference group. The test battery included tests for intelligence, memory, psychomotor performances, and personality. In addition to the comparison of the mean results, two discriminant function analyses were made. In one, only the performance test variables were used, but in the other personality variables were also included. The results indicated impairments in psychological performances, as well as personality changes in the exposed group. Impairments in visual intelligence and verbal memory and a reduction of emotional reactivity were the central features of the adverse effects of solvent exposure, but the behavioral disturbances also involved several other functions, including performance on a verbal intelligence test. The possible role of the differences in the initial intelligence levels were controlled with a separate comparison of the test results of 33 pairs of exposed and nonexposed subjects who were matched for age and for their intelligence level, measured during the military service. The discriminant function analyses were based on the results of these matched subgroups and tested in the rest of the material. According to the results the sensitivity of the psychological test methods was high, but the specificity somewhat low, with regard to solvent exposure. The concentration of various solvents included in the exposure of car painters were low, the summated exposure corresponding corresponding to 32% of the Finnish threshold limit value. The possible role of a potentiating effect of the solvent in the development of behavioral disturbances is discussed.

Adult