Sunday, September 9, 2012

European approaches to work-related stress: a critical review on risk evaluation.




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European approaches to work-related stress: a critical review on risk evaluation.



Saf Health Work. 2012 Mar; 3(1): 43-9
Zoni S, Lucchini RG

In recent years, various international organizations have raised awareness regarding psychosocial risks and work-related stress. European stakeholders have also taken action on these issues by producing important documents, such as position papers and government regulations, which are reviewed in this article. In particular, 4 European models that have been developed for the assessment and management of work-related stress are considered here. Although important advances have been made in the understanding of work-related stress, there are still gaps in the translation of this knowledge into effective practice at the enterprise level. There are additional problems regarding the methodology in the evaluation of work-related stress. The European models described in this article are based on holistic, global and participatory approaches, where the active role of and involvement of workers are always emphasized. The limitations of these models are in the lack of clarity on preventive intervention and, for two of them, the lack of instrument standardization for risk evaluation. The comparison among the European models to approach work-related stress, although with limitations and socio-cultural differences, offers the possibility for the development of a social dialogue that is important in defining the correct and practical methodology for work stress evaluation and prevention.








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[Comparison of microcirculatory blood perfusion between acupoints of the stomach meridian and their bilateral control points and changes of blood flow after electroacupuncture in 21 volunteer subjects].



Zhen Ci Yan Jiu. 2012 Feb; 37(1): 53-8
Zheng SX, Xu JS, Pan XH, Hu XL

To observe the difference of the microcirculatory blood perfusion between acupoints and non-acupoints of the Stomach Meridian and its bilateral control points and to analyze the effect of electroacupuncture (EA) on subcutaneous microcirculatory perfusion in healthy volunteers.A total of 21 healthy adult volunteers were recruited in the present study. Subcutaneous microcirculatory blood perfusion units (BPU) of Shangjuxu (ST 37), Liangqiu (ST 34), Yinshi (ST 33), Futu (ST 32) and non-acupoint (the midpoint between ST 33 and ST 32) of the Stomach Meridian and their bilateral on-meridian points were measured by using Laser Doppler Flowmetry (LDF, PeriFlux 5000). EA (0.5 Hz,duration 0.2 ms, 3-4 V) was applied to Zusanli (ST 36) for 10 min. The subcutaneous microcirculatory perfusion was detected under room temperature of (28 +/- 1) degree C and humidity of about 60% after inserting a single-use syringe needle into the subcutaneous tissues (about 1 cm in depth).In comparison with the bilateral control points, the subcutaneous microcirculatory BPU values of Shangjuxu (ST 37), Liangqiu (ST 34), Yinshi (ST 33), Futu (ST 32) and non-acupoint regions of the Stomach Meridian were significantly higher (P < 0.01). In comparison with pre-EA, the cutaneous microcirculatory BPU was increased mildly after EA of ST 36 (P > 0.05). Following EA for 5 to 10 min, the waveforms of LDF of the Stomach Meridian got regular and smooth.The microcirculatory blood perfusion of acupoints and non-acupoint of the Stomach Meridian in the deeper subcutaneous tissues are significantly higher than that of their bilateral corresponding control points, suggesting that subcutaneous microvascular blood flow may be the heat source for forming infrared radiation trace along the meridian in the human body observed in our past studies.








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