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 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Many occupational and environmental health hazards present as an increased reporting of non-specific symptoms such as headache, backache, eye and respiratory irritation, tiredness, memory problems, and poor concentration. The pattern and number of such symptoms is surprisingly constant from hazard to hazard suggesting that common psychological and social factors, not directly related to the exposure may be involved. A recent workshop (see acknowledgements) was held to review the pattern of symptoms in varying hazardous situations and the psychological mechanisms behind the genesis and maintenance of symptoms. The involvement of both direct physicochemical and psychological mechanisms in symptom generation and reporting in any situation was discussed and is reported here. A model that identifies the issues that need to be considered in any epidemiological study based on the incidence or prevalence of non-specific symptoms is proposed.
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PMID:Modifiers of non-specific symptoms in occupational and environmental syndromes. 916 38

The aim of the current study was to investigate the effects of psychosocial variables on well-being and on pregnancy-related complaints throughout pregnancy. Three hundred and ninety-six nulliparous women completed questionnaires on number of daily stressors, social support, gestational factors and mental and physical work load in each trimester of pregnancy. In addition, the following dependent measures were assessed: depression, anxiety, somatic complaints, and the pregnancy-related complaints fatigue, nausea and back pain. The independent variables predicted depression best (r2 = 42-44%), followed by anxiety (R2 = 13-20) and somatic complaints (R2 = 16-21%). Number of daily stressors explained most of the variance. Satisfaction with social support and maternal age were negatively correlated with depression. In contrast, pregnancy-related complaints could be less accurately predicted by psychosocial factors. The amount of explained variance for fatigue ranged between 6 and 10%, for nausea between 2 and 6%, and for back pain between 5 and 7% for the three trimesters. It is concluded that depressive symptoms during pregnancy are associated with negative psychosocial factors, particularly the number of daily stressors and low satisfaction with received social support. To a lesser degree, this is also the case with anxiety and somatic complaints. Pregnancy-related complaints, on the other hand, appear to be relatively independent of psychosocial conditions.
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PMID:Psychosocial factors as predictors of maternal well-being and pregnancy-related complaints. 881 20

The purpose of this study was to explore the menopause experiences of Chinese women in Taiwan. Six hundred and seventy-three women, aged 40 to 60 years, in the Taipei metropolitan area were chosen as the sample. These women were categorized into four groups in terms of their menopausal experiences: surgical menopause, natural menopause, perimenopause, and premenopause. The results show that the three most frequently reported discomforts that women experienced during menopause were backache/lumbago, amentia, and tiredness. The frequency of reported discomforts was low compared with frequencies reported in Western countries. The surgical group reported higher rates of symptoms than others. In addition, the hormone use rate was 13.5% for the natural menopause group, 34.4% for the surgical menopause group, 12% for the perimenopause group, and 1.9% for the premenopausal group. Higher hormone use rates were inconsistent with the general negative attitudes toward hormone use in Chinese society. Among those 59 women ever using hormones, only one third reported improvement in their symptoms. Women in Taiwan have an inadequate knowledge of menopause. Further health care education and research are needed.
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PMID:Menopause and hormone using experiences of Chinese women in Taiwan. 885 Jul 65

Our purpose in conducting this descriptive study was to assess the health-related concerns and experiences of a sample of employed perimenopausal women in Alexandria, Egypt. In addition, we explored their help-seeking behavior and their perception of symptoms. We interviewed two hundred working women ages 40-60 years, 42% of whom were nurses, using a semistructured interview form as well as Koos's list of symptoms. The commonly mentioned concerns, in order of frequency, were chronic headaches, chronic fatigue, transportation and phone communication problems, financial problems, job dissatisfaction, backaches, hypertension, kidney disease and gall bladder disease, gastritis/indigestion, menstrual disturbances, arthritis, AIDS, and hepatitis B. With respect to the problems experienced by the women in the past 6 months, there was a high self-reported prevalence of headaches, fatigue, transportation and communication problems, backaches, job dissatisfaction, dissatisfaction with health insurance, financial problems, menstrual disturbances, gastritis/indigestion, gall bladder disease, anxiety, disturbed sleep, and hypertension. Women attempted to manage their problems mainly by taking over-the-counter drugs and self-prescribing (75.5%), doing nothing or using traditional remedies (56.5%), and going to a doctor or health insurance office (40%). Symptoms perceived by the majority of the women as not needing medical attention included loss of appetite, persistent backache, bleeding gums, chronic fatigue, persistent headaches, and loss of weight. The influence of education and occupation on women's perceptions and practices is discussed.
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PMID:Health-related concerns and experiences of employed perimenopausal women in Alexandria, Egypt. 885 19

A survey was conducted on musculoskeletal and fatigue symptoms related to individual and work-related risk factors among middle-aged female workers in a frozen food processing factory by using a self-administered questionnaire. Proportions of workers who frequently experienced, during the last one month, stiff muscle or pain in the neck-shoulder, back and lower limbs were 32.9%, 26.8% and 15.9%, respectively. The proportion for fatigue symptom was 30.5%. Factors related to fatigue were: short duration of employment [odds ratio (OR) 1.8, 95% confidence interval (CI) 1.1-2.9], light body weight [OR 0.6, CI 0.3-1.1], long house work [OR 1.7, CI 0.9-3.3], short sleep hours [OR 1.6, CI 1.0-2.5], walking to and from work [OR 0.5, CI 0.2-1.0], those related to back pain were: high body height [OR 2.4, CI 0.8-7.4], light body weight [OR 0.4, CI 0.2-0.9], those related to lower limb symptom were: working height below hip height [OR 2.3, CI 1.2-4.4], working height above shoulder height [OR 3.0, CI 1.5-5.7], high body height [OR 3.4, CI 1.2-10.1] and low body height [OR 2.4, CI 0.8-7.4]. Workers' subjective evaluation of height of work table was significantly related to the body height. These results indicate that it would be necessary to improve ergonomic aspects of work considering individual characteristics as well as to advise workers on their lifestyle.
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PMID:[Occupational and lifestyle factors related to musculoskeletal and fatigue symptoms among middle-aged female workers in a frozen food processing factory]. 893 19

The aim of this study was to analyse the prevalence of mouldy homes and their association with respiratory symptoms and diseases in a subarctic climate. A questionnaire was mailed to a random sample of 2,000 males and females, aged 25-64 yrs, living in the county of Kuopio, Finland. A total of 1,521 (76%) responded and 1,460 were selected for the final analysis. The prevalence of homes with visible mould was 4%; with the odour of mould 5%; with damp spots, visible mould or the odour of mould 15%; and with moisture/ water damage, damp spots, visible mould or the odour of mould 23%. The number of reports of bronchitis, common cold, atopy, allergic rhinitis, rhinitis, fever and chills, hoarseness, fatigue, difficulties in concentration, lumbar backache and stomach ache were strongly associated with living in a damp home. Bronchitis, hoarseness and difficulties in concentration had the strongest associations, with adjusted odds ratios (95% confidence limits) of: 2.04 (1.49-2.78), 2.23 (1.37-3.63) and 2.17 (1.35-3.50), respectively. After controlling for a possible reporting bias by excluding those subjects reporting lumbar backache and recurrent stomach pain, eye irritation and tiredness remained significant. In conclusion, living in a home with mould problems may increase the risk of respiratory infections and symptoms in adults.
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PMID:Home dampness, moulds and their influence on respiratory infections and symptoms in adults in Finland. 898 Sep 78

Previous research has indicated that postoperative distress is influenced by diverse biographic, medical and psychological variables, such as personality, coping behaviours and anxiety. The influence of state variables, apart from anxiety and coping behaviour, has received scant attention. Furthermore, the influence of coping behaviour has remained unclear. The present study investigated coping behaviour and indications of physical distress, i.e., preoperative fatigue, leg pain and back pain, besides preoperative anxiety, as predictors of postoperative anxiety and physical complaints in 126 patients undergoing lumbar surgery. Preoperative anxiety and leg pain independently predicted more postoperative anxiety beyond the influence of age, sex and medical variables. Preoperative anxiety and fatigue independently predicted more postoperative physical complaints. No associations were found between the coping behaviours and the postoperative variables. The implications of these results are discussed in relation to intervention strategies aimed at diminishing the stress of surgery.
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PMID:The influence of psychological variables on postoperative anxiety and physical complaints in patients undergoing lumbar surgery. 906 8

Twenty-seven episodic female cluster headache patients were compared to 27 age-matched female migraine patients with regard to occurrence of symptoms and diseases other than headache, and also with regard to tobacco consumption. Some symptoms and diseases were found to occur significantly or almost significantly more often in the cluster headache patients than in the migraine patients; Chronic fatigue (p < 0.01), vertigo (p < 0.05), arthralgia (p < 0.05), back pain (p = 0.05), spontaneous ecchymoses (p = 0.05) and constipation and/or periodic diarrhea (p = 0.09). There were significantly fewer persons who had never smoked in the cluster headache group than in the migraine group (p < 0.01). The extent of smoking was significantly greater in the cluster headache group than in the migraine group, both as to the number of cigarettes smoked per day (p < 0.001) and as to smoking years (p < 0.001).
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PMID:Symptoms and diseases and smoking habits in female episodic cluster headache and migraine patients. 920 69

The sport scientist's understanding of the biomechanics and physiology of sailing, together with its application to nutrition, training and injury prevention in the elite competitor, has continued to develop over the past decade. Very large mechanical forces are imposed in the vertical axis of the body, which give rise to frequent complaints to low back and knee pain and, occasionally, even to muscle rupture. Training programmes should emphasise the development of isometric endurance in the relevant muscle groups, such preparation continuing throughout the winter months. The oxygen cost of sailing is relatively light, and development of aerobic fitness should be advocated for reasons of general health rather than competitive success. Because of the intense muscle contractions that are developed during competition, heart rates and blood pressures are high in relation to oxygen consumption. However, during normal sailing, tacking and fluctuations of wind speed limit the development of muscle fatigue. In contrast to the operation of small craft, the crew of large ocean-going vessels may have a very high daily energy expenditure, probably related to difficulty in relaxing at any point of day or night. Windsurfers face similar physiological demands to the dinghy sailor and they also have frequent complaints of back pain. Knowledge of the relevant health issues remains limited, even among elite competitors, and there remains substantial scope for increased education of team members.
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PMID:Biology and medicine of sailing. An update. 921 19

Both quantitative and qualitative methods were used to assess the general and reproductive health of female adolescents in a rural district in Tamil Nadu, India. In focus group discussions, adolescents spoke of having headaches, body pains, and fatigue. There was a reluctance to discuss sexual health problems, but many reported concerns about menstrual irregularities. Girls participating in groups stated they would feel more comfortable attending a separate adolescent clinic run by female physicians. In interviews with 190 girls, the most frequently cited health complaints were fatigue, palpitations, frequent headaches, backache, and abdominal pain. Over 20% suffered from joint pains, weight loss, poor appetite, and recurrent respiratory problems. Those with higher educational status had fewer health complaints. 30% were anemic, and heights, weights, and body mass indexes were typical of those found in chronically undernourished populations. Adequate knowledge levels of topics such as menstruation, contraception, nutrition, and AIDS were extremely low. Overall, these findings indicate a need for both health education and special treatment services for girls from India who have suffered the health consequences of low socioeconomic status, unhygienic practices, and poor nutrition.
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PMID:General and reproductive health of adolescent girls in rural south India. 928 94


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