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1.
J Occup Health Psychol ; 20(1): 15-26, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25347684

ABSTRACT

Despite decades of research from around the world now permeating occupational health and safety (OHS) legislation and guidelines, there remains a lack of tools to guide practice. Our main goal was to establish benchmark levels of psychosocial safety climate (PSC) that would signify risk of job strain (jobs with high demands and low control) and depression in organizations. First, to justify our focus on PSC, using interview data from Australian employees matched at 2 time points 12 months apart (n = 1081), we verified PSC as a significant leading predictor of job strain and in turn depression. Next, using 2 additional data sets (n = 2097 and n = 1043) we determined benchmarks of organizational PSC (range 12-60) for low-risk (PSC at 41 or above) and high-risk (PSC at 37 or below) of employee job strain and depressive symptoms. Finally, using the newly created benchmarks we estimated the population attributable risk (PAR) and found that improving PSC in organizations to above 37 could reduce 14% of job strain and 16% of depressive symptoms in the working population. The results provide national standards that organizations and regulatory agencies can utilize to promote safer working environments and lower the risk of harm to employee mental health.


Subject(s)
Depression/psychology , Occupational Health/standards , Stress, Psychological/psychology , Workplace/psychology , Adult , Australia , Depression/etiology , Female , Humans , Interviews as Topic , Male , Mental Health , Middle Aged , Organizational Culture , Psychometrics , Regression Analysis , Risk Assessment , Risk Factors
2.
J Pharm Biomed Anal ; 50(5): 823-30, 2009 Dec 05.
Article in English | MEDLINE | ID: mdl-19625155

ABSTRACT

BACKGROUND: Many drugs for treatment of allergies, migraine headaches, inflammation, and other indications are administered into the nasal cavity providing access to the immune and central nervous systems. One of the concerns for using this route of administration is potential damage to the nasal epithelium and mucosal regions. We assembled a panel of clinical biomarkers that can be used to monitor changes in the nasal epithelium, mucosa, and olfactory regions in preparation for clinical trials involving drugs administered via intranasal route. These biomarkers included albumin, elastase, IL-6, IL-8, lactoferrin, myeloperoxidase and nerve growth factor. METHODS: Immunoassays were developed and used to measure changes in these biomarkers in nasal lavage samples collected twice daily from 30 assumed-healthy volunteers over a 2-day period. Various statistical methods including analysis of variance (ANOVA), paired t-test and Pearson's product-moment correlation were used to evaluate the data. RESULTS: Although the basal levels of these biomarkers were varied among subjects, the data show that the concentrations of albumin, elastase and IL-8 were significantly higher in samples collected in the morning compared to samples collected later during the day. Pre-washing nasal cavity prior to collecting nasal lavage samples did alter the measurement of elastase and albumin, but did not influence the levels of the other biomarkers. CONCLUSIONS: These data show that this panel of biomarkers can be used to monitor changes in the nasal cavity including those affected by diurnal fluctuations. These results also provide useful baseline values and sources of variability for each biomarker that could be used to help design clinical trials.


Subject(s)
Biomarkers/chemistry , Immunoassay/methods , Nasal Cavity/drug effects , Nasal Cavity/metabolism , Nasal Mucosa/drug effects , Nasal Mucosa/metabolism , Adolescent , Adult , Albumins/metabolism , Circadian Rhythm , Clinical Trials as Topic , Humans , Immunoassay/instrumentation , Interleukin-8/biosynthesis , Middle Aged , Pancreatic Elastase/biosynthesis , Time Factors
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