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Making working memory work: a computational model of learning in the prefrontal cortex and basal ganglia.

The prefrontal cortex has long been thought to subserve both working memory (the holding of information online for processing) and executive functions (deciding how to manipulate working memory and perform processing). Although many computational models of working memory have been developed, the mechanistic basis of executive function remains elusive, often amounting to a homunculus. This article presents an attempt to deconstruct this homunculus through powerful learning mechanisms that allow a computational model of the prefrontal cortex to control both itself and other brain areas in a strategic, task-appropriate manner. These learning mechanisms are based on subcortical structures in the midbrain, basal ganglia, and amygdala, which together form an actor-critic architecture. The critic system learns which prefrontal representations are task relevant and trains the actor, which in turn provides a dynamic gating mechanism for controlling working memory updating. Computationally, the learning mechanism is designed to simultaneously solve the temporal and structural credit assignment problems. The model's performance compares favorably with standard backpropagation-based temporal learning mechanisms on the challenging 1-2-AX working memory task and other benchmark working memory tasks.

Algorithms↗

Influence of noise on heart rate and quantity of work in mental work.

In the present study, we investigated the correlation between the physiological function, heart rate (HR) and the quantity of work performed when A-weighted sound pressure level of factory noise or construction noise was varied during the mental operations of calculation and erosion. Furthermore, we looked for differences in the effects of sound noise and music on the quantity of work performed. The A-weighted sound pressure level was set at four levels of background noise, i.e. 60, 70 and 80 dB (A). The music sound level was set at 70 dB (A). The subjects were exposed to factory noise, construction noise and music during their mental work. A balanced factorial experiment was conducted with a total of 16 combinations of types of mental work (two levels of calculation and erosion), sound noise (two levels of factory and construction sound noise), and A-weighted sound pressure levels (four levels). The order of the experimental procedures was determined at random. The following conclusions were made from the findings of the study. 1) HR elevation occurred due to exposure to sound noise, and further increase in HR resulted from an increase in the A-weighted sound pressure level. This result can be attributed to the action of sound noise as a stressor, which excites sympathetic nerves, leading to an elevation of HR. 2) The quantity of work performed decreased with an increase in the A-weighted sound pressure level. 3) When the subjects were exposed to music with an A-weighted sound pressure level of 70 dB (A) instead of sound noise of the same level, almost no elevation of HR was observed. However, the quantity of work completed when exposed to music was less than that performed when exposed to sound noise of the same A-weighted sound pressure level.

Heart Rate↗

Oxygen consumption for constant work is minimal at lowest working contractility in normal dog hearts.

We tested whether minimal myocardial oxygen consumption (MVO2) for a given external work would exist in the middle of a normal contractility range as previously predicted theoretically. The left ventricle of the excised cross-circulated dog heart preparation was connected to a volume servo pump. Myocardial contractility in terms of ventricular end-systolic elastance (Emax) was gradually increased from control 8.9 +/- 3.4 (mean +/- SD) to 30.0 mmHg/(ml/100 g) by epinephrine and decreased to 1.8 mmHg/(ml/100 g) by propranolol while heart rate, end-systolic pressure and stroke work were kept constant. MVO2 was determined as the product of total coronary flow and coronary arteriovenous oxygen content difference in each contractile state. We plotted MVO2 values against E(max) values in each heart. The MVO2-E(max) relation for a constant cardiac work showed that MVO2 was minimal at the low end of the covered E(max) range. We conclude that minimal MVO2 for a given cardiac work is generally obtained at the lowest working contractility in normal dog hearts. This conclusion might pose some problems in the previous theoretical prediction as to the contractility that achieves the minimal MVO2 in a given external work.

Animals↗

Work-related reproductive, musculoskeletal and mental disorders among working women--history, current issues and future research directions.

According to the recent changes of working environments and socio-economical conditions, the proportion of working women are increasing in Japan. Characteristics of occupational workload and stress of Japanese working women are consistent with those in many industrialized countries except man-dominant culture. In this review we describe the history, current issues, and future research directions on occupational health of working women, especially focused on reproductive health, work-related musculo-skeletal disorders (WMSDs), and mental disorders. In the reproductive health survey, traditionally main concern was about pregnancy outcomes, then fecundity studies, such as time to pregnancy, became topics recently. Future research will be shifted to outcomes not only during pregnancy but also disorders of hormonal balance and climacterium or health conditions after menopause. WMSDs are reviewed on mainly gender difference and its causative factors. Historically, mental health of working women in Japan has focused on the job stress of nurses. We compare results with a lot of recent researches in Europe and U.S.A., where interaction between occupational stress and family roles were studied. It is not easy to predict the prospective status of female workers in Japan, but social, workplace and familial supports will enhance their health promotion.

Female↗

Has increased focus on vocational rehabilitation led to an increase in young employees' return to work after work-related disorders?

The aim of this study was to determine whether the large investments in vocational rehabilitation made in Sweden during the 1990s had improved the level of return to work for young employees and to study the factors predicting return to work. The study population comprised all employees under 30 years of age whose reports on work-related disorders were under consideration at regional social insurance offices in Västerbotten county in 1990 and 1994 (n = 266). Between these years, increased efforts were made by the Swedish government to improve vocational rehabilitation. Data was collected from the register and by means of questionnaires. It was found that employees with musculoskeletal disorders were more likely to return to work during periods of intensive vocational rehabilitation. No increase in the level of return to work was apparent if all disorders were considered. Men showed a higher level of return to work than women, although women were better educated.

Adolescent↗

Children of working low-income families in California: does parental work benefit children's insurance status, access, and utilization of primary health care?

OBJECTIVE: To examine financial and nonfinancial access to care and utilization of primary health care services among children of working low-income families earning below 200 percent of the federal poverty level in California, and to compare them to children in nonworking low-income families and in families earning over 200 percent of poverty. DATA SOURCES/STUDY SETTING: The 1994 National Health Interview survey weighted to reflect population estimates for California. STUDY DESIGN: This cross-sectional study of 3,831 children under age 19 focuses on financial access, that is, the prevalence and continuity of health insurance coverage; structural access, including the presence of a usual source of care, the predominant care source, its responsiveness to patient's needs, and any indications of delayed or missed care; and utilization of health care measured by the presence of an outpatient doctor's visit and the mean number of visits relative to child health status. DATA COLLECTION: The study uses secondary analysis. FINDINGS: Compared to children of nonworking low-income parents and to nonpoor children, children of working low-income parents were more likely to be uninsured (32.1 percent versus 15.6 percent and 10.3 percent, p = .0001) and to experience disruptions in insurance coverage (p = .0009). These differences persisted after controlling for other covariates in multivariate analyses. Children of working low-income parents did not differ significantly from children of nonworking low-income parents on measures of structural access or utilization, after adjusting for other covariates. However, they differed significantly from nonpoor children on structural access and utilization, and these differences mostly persisted after adjusting for other covariates (odds ratios from 1.5 to 2.9). Similar patterns were observed when children of full-time, year-round working parents with low earnings were compared with the two reference populations. CONCLUSION: Children in working low-income families in California have some of the worst access problems. Even full attachment to the workforce does not guarantee health insurance benefits, access to care, or improved health care use for children of low-income parents. These children are not better off than other low-income children of nonworking parents and are much worse off than nonpoor children. Expansion of health insurance coverage through Healthy Families and Medi-Cal, and attention to nonfinancial barriers to care for working low-income families may help to reduce these disparities.

Adolescent↗

Working environmental conditions as experienced by women working despite pain.

OBJECTIVE: This study looked at female hospital cleaners and home help personnel who continued working despite problems or pain in their musculoskeletal system and where there was a risk of increase in sickness absence. The aim was to determine whether supportive intervention for these personnel at the workplace had an effect on the way that they experienced the physical and psychosocial aspects of their working environments. METHODS: The design was prospective with non-rando-mised intervention and reference groups. A selection of 55 questions about physical and psychosocial working environment from a national survey were used. Comparisons were made between intervention and reference groups and with data on a selection of the Swedish population of people in these professions. RESULTS: The results showed that in the hospital cleaners' intervention group the introduction of new cleaning materials and new cleaning methods seemed to contribute to a reduction in workload during the intervention period, which in turn gave them a better chance of taking rest breaks during working time. In the home helps' intervention group the results showed that the group had had a reduction both in workload and in more responsible tasks, and at the same time the psychosomatic stress reactions reduced after the intervention. CONCLUSIONS: The results indicate that effects on the working environmental conditions as experienced could be obtained by a general multi-component support program at the workplace, but the number of variables influenced by the program was very small. The relatively limited effects may be explained by the fact that the impact of a support program depends on how well the remedial measures fulfil the need for such measures either at the workplace, in a work group or among the individual people at the workplace. This emphasises the importance of designing effective analysis tools for judging what remedial measures are needed before the measures themselves are tried out.

Journal Article↗

Work and life stressors and psychological distress in the Canadian working population: a structural equation modelling approach to analysis of the 1994 National Population Health Survey.

Work stressors are increasingly recognized as potentially important determinants of mental health status. We examined such relationships using a structural equation modelling approach with data on adult, working Canadians who participated in the first wave of the National Population Health Survey (NPHS). Work stressors formed a composite construct with paths from psychological demands, decision latitude, work social support and job insecurity, each measured through a reduced version of the Job Content Questionnaire. Life stressors also formed a composite construct composed of chronic stressors and recent life events. Psychological distress was the outcome, mediated by the latent effect constructs of mastery and self-esteem. Work stressors had consistently positive total effects on distress (sum of standardized path coefficients from 0.004 to 0.153 across gender-occupation strata), with all of these effects mediated through reduced self-esteem and mastery (work stressors to these mediators: -0.188 to -0.413). Life stressors had larger positive total effects on distress (0.462 to 0.536), with the majority of these effects direct.

Adolescent↗

Geographic variation in surgical treatment for work-related carpal tunnel syndrome: does improved return to work matter?

Medical treatment of compensated work-related conditions has two objectives--improve injured workers' health status and allow safe and sustained return to work (RTW). Theoretically, the choice of treatment method should be based primarily on these objectives. Surgical treatment of work-related carpal tunnel syndrome (CTS) provides an opportunity to evaluate whether this occurs. The traditional method of open release has been complemented by an endoscopic procedure, particularly useful in work-related cases due to the anticipated benefit of earlier RTW. The objective of this study was to investigate the differences in surgical treatment for work-related CTS across eight US workers' compensation (WC) jurisdictions, and the factors associated with these differences. From all WC claims reported to a single insurer during the 1995-1999 period, we identified individuals with a one or two surgical procedures for work-related CTS. Among selected individuals (n=4,421), about 20% were treated using the endoscopic procedure; this percentage had a ten-fold variation across the eight jurisdictions. However, utilization of endoscopic release did not increase during the study period, despite reports of better RTW outcomes. The highly jurisdictional nature of the US WC system, with significant differences in reimbursement levels for endoscopic procedures, and geographical differences in medical training were among the potential contributors to the observed variation in utilization.

Carpal Tunnel Syndrome↗

["My work"--adaptation to work questionnaire].

BACKGROUND: Although the interest in the problem of adaptation to work among psychologists is still growing, there are a few methods for investigating this issue. The present study was undertaken to develop a new instrument for assessing one's adaptation to work and to evaluate the psychometric parameters of the test. MATERIALS AND METHODS: A questionnaire called "My work", based on the person-environment fit theory model, has been elaborated. RESULTS: The questionnaire consists of 23 items, describing various aspects of adaptation to work. The results of a survey, performed on 292 individuals, provided the grounds for testing the validation parameters of the questionnaire. The following psychometric properties were assessed: Cronbach's alpha reliability coefficient (0.92), stability (0.75), and content validity. Preliminary normative values for the test were also established. CONCLUSIONS: The "My work" test shows a good psychometric characteristic and it can be useful for both research work and practical application (as a diagnostic tool).

Adult↗

Health promotion activities among working and non-working adult women.

Self report measures of health promotion activities and demographic variables of working women and housewives were analyzed. A sample of 516 female clients (283 of housewives and 233 of working women) were chosen from nine different out patient clinics offering health services to women in Tanta city. Three structured questionnaire sheets were used, namely: (1) Health promoting life style questionnaire (HPLQ), (2) Health value scale (HVS), and (3) self-efficacy. The results showed that a minority of housewives and working women groups correctly tended to practice more health promotion activities. However, the total mean scores of working women were slightly higher ( 362.03 +/- 33.55 out of 522) than that among housewives group (332.77 +/- 31.18). Multiple regression analysis indicated a significant correlation between women scores regarding most of the studied items related to self reported health promotion activities and demographic variables. Higher education (p = 0.004), family income (p = 0.005), and duration of marriage (p = 0.031) were associated significantly with working women who sought more health promotion activities, while education (p = 0.003) and family income (p = 0.028) were associated significantly with housewives group. Finally, the present study proved that work of women (p = 0.000) significantly related to the practice of health promotion behaviors.

Adult↗

[Morbidity, causes of work disability and social factors influencing work disability in pregnancy. 1. Morbidity].

The level of patients was analysed on 1,100 pregnant women. The average duration of unfitness for work amounted to 25.7 days. Up to the end of the 34th week of pregnancy 65.4% of the working pregnant women were one or several times unfit for work. Two thirds of all releases from work happened between the 17th and 34th weeks. Pregnant women with risk factors had a significantly higher average frequency and duration of unfitness for work. The indications for intensive care of pregnant women are to be set more severely. The professional expositions of pregnant women have to be more organised by labor rights. Individual behavioural patterns from the view of the doctor and of the pregnant women influence on the occurrence of unfitness for work.

Absenteeism↗

Vocational adjustment of EMR youth in a work-study program and a work program.

Adjustment measures for students who took part in two work programs for EMR graduates of special schools were compared. Fifty students took part in a work program (direct placement in the work) and 50 students, a work-study program. The students, their parents, and their employers were interviewed regarding vocational satisfaction and adjustment. The work-study program graduates were significantly more stable, satisfied, and adjusted than were the work-program graduates (p is less than .001), but their professional opportunities (reflected by the number of different jobs held) were limited.

Adaptation, Psychological↗

[A check list for working conditions and work satisfaction of nurses in general hospitals--report on results].

During a training on continuing education the nursing staff of the "Klinikum Bamberg" decided to start systematic research into career patterns, working conditions and work satisfaction. A checklist was developed. The study reports findings from 543 nurses in 4 german general hospitals. Leaving aside details about specific clinical areas it emerged a high agreement in positively evaluated working conditions and in negatively evaluated as well. Particularly positively evaluated areas are work-content, colleague in the wards, relationships with the immediate superiors. There was little homogeneity concerning working hours and range of duties. What was generally thought to need improvement was staffing level, workload, bed occupancy, hospital management/organization and salar. These findings are consistent with mostly all newer publications on this topic. They too are consistent with the professional self-awareness of the nursing staff inferrable from the career expectations: The most important object only rarely were in keeping with the traditional image of "service to humanity". Personal aims, such as money, were much more prevalent, but also to be able to give the best possible and dignific care. With respect to these findings we propose to do the following strategy: It no longer serves a useful purpose to continue research with variing methods of data collection and to confirm the already well known facts. It rather seems politically necessary to take the next steps: Using a standardized method of data collection, to get comparable data, based on this to establish the actual state of working conditions from the sight of the nursing staff. Finally to demand the changing of these conditions which need to be improved as the necessary framework for modern nursing practice. Our experience suggests that the check list is a suitable tool for the collection of these data.

Hospitals, General↗

Making work more central to work disability policy.

The labor market trajectory of persons with and without disabilities is charted for the years 1981 through 1993. Data from the March Supplement to the Current Population Survey for these years show that changes in the labor market and in the specific work history of persons with disabilities are the main determinants both of their current employment situation and of whether they will lose or find jobs. Thus, the state of the overall labor market sets the basic parameters of employment among persons with disabilities, and then the specific work history of individuals determines whether they, among all persons with disabilities, will be working or will lose or find jobs. Public policy toward work disability must focus more on the impact both of trends in the labor market and of work history because these factors are crucial in determining the work outcomes of persons with disabilities.

Adult↗

Work sampling revisited: a technique for understanding nursing work.

This article describes the work sampling methodology as a technique to provide direct observational data for the analysis of nursing job design. Work sampling has previously been used to examine the actual work of hospital nurses under the broad categories of direct and indirect care. We assert that work sampling can also be used to examine a specific type of nursing care, and use the example of intrapartum support to illustrate this. The purpose is to discuss the potential for using work sampling as a technique to examine the actual work nurses do and provide data for analysis of nurse job design.

Humans↗

Diseases and work-related injuries in Polish seafarers and conditions of their work on foreign-flag ships.

A questionnaire survey was conducted in 1994-1996 among Polish seafarers employed on foreign-flag ships, in order to collect their opinions and experiences on work and life on these ships, and to estimate the morbidity and injuries incidence. The majority of 1103 respondents were satisfied with the conditions of work and life on these ships: their food, accommodation, the health and safety of work, standard of health care on board were good or satisfactory; they had no problems with living and working together on the same ship with seamen of other nationalities. But about 7.8% of respondents complained that the safety and health of work on their ship was unsatisfactory, or conditions of work "endangered their health and life". The self-reported morbidity (calculated rate 176.8 per 1000 men per year) and accidents (rate 114.5 per 1000 per year) was recorded.

Accidents, Occupational↗

Work Content and Eye Discomfort in VDT Work.

A questionnaire study of Swedish public employees with frequent and different types of VDT work (n = 2,025) was conducted. Eight different kinds of eye discomfort were examined, and an additive index was constructed. Eye discomfort was statistically related to aspects of work organization. The highest levels of discomfort were reported by computer-aided design (CAD), data entry, and word processing groups; groups with mixed VDT tasks displayed the lowest level of symptoms. Time spent at a VDT, low degree of work control, time pressure, and high pace of work were all associated with relatively high levels of eye discomfort. There was significant interaction between experience of stress and time spent at a VDT with respect to both the eye discomfort index and three specific symptoms (itching, gritty feeling, and dryness). Whereas dryness, smarting, and itching of the eyes seem most strongly related to work conditions, redness and watery eyes seem most weakly related.

Control↗