Workplace presenteeism is common and leads to the spread of infectious diseases. Previous reviews have focused on presenteeism in relation to general physical or mental ill health. In this systematic ...review we identified the prevalence of, and reasons and risk factors for, presenteeism in relation to an infectious illness.
We searched Medline, Scopus, Web of Science, PsycINFO and PsycARTICLES with terms relating to infectious illnesses and presenteeism at the work place or school; reference lists of relevant articles were also hand-searched.
Our search yielded 3580 papers after deduplication. After title, abstract and full text screening, 23 papers reporting on 24 studies were included. Twenty-three studies were cross-sectional studies and one was prospective. The quality of included studies was relatively poor due to problems such as sampling and non-response bias. Presenteeism prevalence ranged from 35 to 97%. Self-reported reasons for presenteeism fell into three main themes: 1. Organisational factors (organisational policy, presenteeism culture, disciplinary action), 2. Job characteristics (lack of cover, professionalism, job demand), and 3. Personal reasons (burden on colleagues, colleague perceptions, threshold of sickness absence and financial concerns). Statistical risk factors fell into four themes: 1. Sociodemographic, 2. Health, 3. Influenza-related behaviour, and 4. Employment characteristics. Most of the risk factors had insufficient evidence to allow us to draw any firm conclusions, and evidence regarding gender and age was inconsistent. The risk factor with the most consistent findings concerned occupation type, suggesting that those who worked in the healthcare sector, and specifically physicians, were at a higher risk of infectious illness presenteeism.
Infectious illness presenteeism is common. To address the public health consequences, organisations should focus on promoting a positive working culture and developing sickness absence policies that reduce presenteeism. Further research is needed in non-health sector organisations and schools to identify risk factors related to different organisations, which can then be used to tailor interventions at the organisational and individual level.
Abstract Background The objective of this study was to investigate whether the preoperative hematologic markers, the platelet-lymphocyte ratio (PLR), or the neutrophil-lymphocyte ratio (NLR) ratio ...are significant prognostic indicators in resected pancreatic ductal adenocarcinoma. Methods A total of 84 patients undergoing pancreatoduodenectomy for pancreatic ductal adenocarcinoma over a 10-year period were identified from a retrospectively maintained database. Results The preoperative NLR was found to be a significant prognostic marker ( P = .023), whereas PLR had no significant relationship with survival ( P = .642) using univariate Cox survival analysis. The median overall survival in patients with an NLR of ≤3.0 (n = 55) was 13.7, 17.0 months in those with an NLR of 3.0 to 4.0 (n = 17) and 5.9 months in patients with a value of >4.0 (n = 12) (log rank, P = .016). The NLR retained its significance on multivariate analysis ( P = .039) along with resection margin status ( P = .001). Conclusion The preoperative NLR represents a significant independent prognostic indicator in patients with resected pancreatic ductal adenocarcinoma, whereas PLR does not.
The brachial plexus, a network of ventral rami providing somatic sensory and motor innervation to the forelimb, is of particular importance in felids. Large-bodied pantherines require powerful ...rotatory and joint stabilizing forelimb muscles to maintain secure holds on large prey, while smaller-bodied felines are small prey specialists reliant on manual dexterity. Brachial plexus dissections of two snow leopards (Panthera uncia) and two domestic cats (Felis catus) revealed that generally the morphology of the brachial plexus is quite conserved. However, differences in the nerves supplying the shoulder and antebrachium may reflect differing prey capture strategies between the subfamilies. The brachial plexus of both species derives from ventral rami of C6-T1. In P. uncia, an extensive musculus (m.) subscapularis with multiple pennations is innervated by a larger number of nn. subscapulares, deriving from more spinal cord levels than in F. catus. C6 continues to become n. suprascapularis in both taxa; however, in F. catus, it also gives branches that join with C7, while in P. uncia, it is dedicated to musculi (mm.) supraspinatus, infraspinatus, and a small branch to cervical musculature. In F. catus, nervus (n.) medianus receives direct contributions from more ventral rami than P. uncia, possibly reflecting a greater reliance on manual dexterity in prey capture in the former. In addition to primary innervation by n. thoracodorsalis, m. latissimus dorsi is also innervated by n. thoracicus lateralis near the axilla in both taxa, suggesting that it may belong to a complex of proximal forelimb musculature along with mm. pectoralis profundus and cutaneus trunci.
The basis for, and use of, fine grain size parameters for inference of paleoflow speeds is reviewed here. The basis resides in data on deposited sediment taken in conjunction with flow speed ...measurements in the field, experimental data on suspended sediment transport and deposition, and theoretical treatments of the generation of size distributions of deposits from suspension controlled by particle settling velocity and flow speed. In the deep sea, sorting events occur under resuspension/deposition events in benthic storms. At flow speeds below 10–15 cm s−1, size in the noncohesive “sortable silt” (10–63 μm) range is controlled by selective deposition, whereas above that range, removal of finer material by winnowing also plays a role. The best particle size instruments to measure a flow speed–related grain size employ the settling velocity method, while laser diffraction sizers can yield misleading results because of particle shape effects. Potential problems, including source effects, downslope supply on continental margins, spatial variability of flow over bedforms, and influence of ice‐rafted detritus, are examined. A number of studies using the sortable silt flow speed proxy are reviewed, and inverse modeling of grain size distributions is examined. Outstanding problems are that corroboration is sparse because almost no studies have yet used the full range of proxies for flow rate and water mass identification and that the sortable silt mean size is not yet properly calibrated in terms of flow speed.
Synchronised reproduction offers clear benefits to planktonic foraminifera – an important group of marine calcifiers – as it increases the chances of successful gamete fusion. Such synchrony requires ...tuning to an internal or external clock. Evidence exists for lunar reproductive cycles in some species, but its recognition in shell flux time series has proven difficult, raising questions about reproductive strategies. Using spectral analysis of a 4-year time series (mostly at weekly resolution) from the northern Gulf of Mexico, we show that the shell flux of Globorotalia menardii, Globigerinella siphonifera, Orbulina universa, Globigerinoides sacculifer, Globigerinoides ruber (both pink and white varieties), Pulleniatina obliquiloculata, Neogloboquadrina dutertrei, Globigerinella calida and Globigerinita glutinata is characterised by lunar periodicity. However, the lunar rhythm is not present in all size fractions of each species and tends to be more dominant in the flux of larger shells, consistent with reproduction being more prevalent in larger specimens. Lunar periodicity is superimposed on longer term/seasonal changes in the shell fluxes, but accounts for a significant part of the variance in the fluxes. The amplitude of the lunar cycle increases roughly proportional with the magnitude of the flux, demonstrating that most of the population is indeed affected by lunar-phased synchronisation. In most species peak fluxes occur predominantly around, or just after, full moon. Only G. siphonifera and G. calida show a contrasting pattern with peaks concentrated around new moon. Although the exact cause of the synchronisation remains elusive, our data considerably increase the number of species for which lunar synchronised reproduction is reported and suggest that such reproductive behaviour is common in many species of planktonic foraminifera.
Owing to the lack of absolutely dated oceanographic information before the modern instrumental period, there is currently significant debate as to the role played by North Atlantic Ocean dynamics in ...previous climate transitions (for example, Medieval Climate Anomaly-Little Ice Age, MCA-LIA). Here we present analyses of a millennial-length, annually resolved and absolutely dated marine δ
O archive. We interpret our record of oxygen isotope ratios from the shells of the long-lived marine bivalve Arctica islandica (δ
O-shell), from the North Icelandic shelf, in relation to seawater density variability and demonstrate that solar and volcanic forcing coupled with ocean circulation dynamics are key drivers of climate variability over the last millennium. During the pre-industrial period (AD 1000-1800) variability in the sub-polar North Atlantic leads changes in Northern Hemisphere surface air temperatures at multi-decadal timescales, indicating that North Atlantic Ocean dynamics played an active role in modulating the response of the atmosphere to solar and volcanic forcing.
Transition-metal-catalyzed hydrogen-transfer reactions have been used for the conversion of alcohols into benzimidazoles and aldehydes into benzoxazoles and benzothiazoles.
Simulations of 21st century climate change for Great Britain predict increased seasonal precipitation that may lead to widespread soil loss by increasing surface runoff. Land use and different ...vegetation cover can respond differently to this scenario, mitigating or enhancing soil erosion. Here, by means of a sensitivity analysis of the PESERA soil erosion model, we test the potential for climate and vegetation to impact soil loss by surface-runoff to three differentiated British catchments. First, to understand general behaviours, we modelled soil erosion adopting regular increments for rainfall and temperature from the baseline values (1961–1990). Then, we tested future climate scenarios adopting projections from UKCP09 (UK Climate Projections) under the IPCC (Intergovernmental Panel on Climate Change) on a defined medium CO2 emissions scenario, SRES-A1B (Nakicenovic et al., 2000), at the horizons 2010–39, 2040–69 and 2070–99. Our results indicate that the model reacts to the changes of the climatic parameters and the three catchments respond differently depending on their land use arrangement. Increases in rainfall produce a rise in soil erosion while higher temperatures tend to lower the process because of the mitigating action of the vegetation. Even under a significantly wetter climate, warmer air temperatures can limit soil erosion by enhancing primary productivity and in turn improving leaf interception, infiltration-capacity, and reducing soil erodibility. Consequently, for specific land uses, the increase in air temperature associated with climate change can modify the rainfall thresholds to generate soil loss, and soil erosion rates could decline by up to about 33% from 2070 to 2099. We deduce that enhanced primary productivity due to climate change can introduce a negative-feedback mechanism limiting soil loss by surface runoff as vegetation-induced impacts on soil hydrology and erodibility offset the effects of increased precipitation. The expansion of permanent vegetation cover could provide an adaptation strategy to reduce climate-driven soil loss.
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•Climate change impacts ecosystems with a repercussion on soil erosion.•We conducted a sensitivity analysis on the PESERA soil erosion model.•We focused on climate and vegetation in three UK catchments.•Vegetation productivity with temperature increases can reduce erosion up to −33%.•Crops can contribute to an increase in erosion of up to about 60.7% from 2070 to 2099.
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