Zoekresultaten

Late effects of cancer (treatment) and work ability: guidance by managers and professionals

BackgroundThe prevalence of the group of workers that had a cancer diagnosis in the past is growing. These workers may still be confronted with late effects of cancer (treatment) possibly affecting their work ability. As little is known about the guidance of this group, the aim of this study was to explore the experiences and ideas of managers and professionals about the guidance of these workers in the case of late effects of cancer (treatment). Given the positive associations with work ability of the job resources autonomy, social support by colleagues and an open organisational culture found in several quantitative studies, these job resources were also discussed. Further ideas about the influences of other factors and points of attention in the guidance of this group of workers were explored.MethodsSemi-structured interviews were conducted with managers (n = 11) and professionals (n = 47). Data-collection was from November 2019 to June 2020. The data were coded and analysed using directed content analyses.ResultsThe late effects of cancer or cancer treatment discussed were physical problems, fatigue, cognitive problems, anxiety for cancer recurrence, and a different view of life. The self-employed have less options for guidance but may struggle with late effects affecting work ability in the same way as the salaried. Late effects may affect work ability and various approaches have been described. Autonomy, social support of colleagues and an open organisational culture were regarded as beneficial. It was indicated that interventions need to be tailor-made and created in dialogue with the worker.ConclusionsEspecially with respect to cognitive problems and fatigue, guidance sometimes turned out to be complicated. In general, the importance of psychological safety to be open about late effects that affect work ability was emphasized. Moreover, it is important to take the perspective of the worker as the starting point and explore the possibilities together with the worker. Autonomy is an important factor in general, and a factor that must always be monitored when adjustments in work are considered. There is a lot of experience, but there are still gaps in knowledge and opportunities for more knowledge sharing.

Socio-psychological effects of wind turbine noise

This paper presents a report of some of the activities of the International Energy Agency's (IEA) Wind TCP Task 39. By identifying best practices in an international collaboration, Task 39 hopes to provide the scientific evidence to inform improved regulations and standards, increasing the effectiveness of quiet wind turbine technology. Task 39 is divided into five separate work packages, which address the broad wind turbine noise topic in successive steps; from wind turbine noise generation (WP2), to airborne noise propagation over large distances (WP3). The assessment of wind turbine noise and its impact on humans is addressed in WP4, while WP5 is dealing with other aspects of perception and acceptance, which may be related to noise. All WPs contribute to a dedicated Work Package on dissemination (WP1). This paper provides an update of activities primarily associated with the socio-psychological aspects of wind turbine noise (WP4 and WP5). Through the consideration of a wide variety of factors, including measurement technologies, auralisation and psychology, the effects on noise perception, annoyance and its impact on wellbeing and health is being further investigated. This paper presents a discussion of the activities of each member country and highlights some of the key research questions that need to be further considered.

Preliminary thoughts

Ascertaining the contribution of research is complex; this is not a conclusion but a starting point for the preliminary thoughts in this inaugural lecture. The guiding question is: where does this complexity lie? The dominant answer that has taken root in many practices flattens this complexity into a line. As a handle, or a rule of thumb. The concept of continuous effects serves as a crowbar to break open this one-dimensionality, not least to do more justice to practice-based research at universities of applied sciences. This allows for a different way of looking at how practice-based research contributes to change: from continuous effects ‘stretching each moment to the fullest’ and indicators of the effects of direct interactions, to multiple action perspectives beyond merely generating new knowledge to bring about change.

Effects of Exercise during Chemo- or Radiotherapy on Immune Markers

Introduction: Patients with cancer receiving radio- or chemotherapy undergo many immunological stressors. Chronic regular exercise has been shown to positively influence the immune system in several populations, while exercise overload may have negative effects. Exercise is currently recommended for all patients with cancer. However, knowledge regarding the effects of exercise on immune markers in patients undergoing chemo- or radiotherapy is limited. The aim of this study is to systematically review the effects of moderate- and high-intensity exercise interventions in patients with cancer during chemotherapy or radiotherapy on immune markers. Methods: For this review, a search was performed in PubMed and EMBASE, until March 2023. Methodological quality was assessed with the PEDro tool and best-evidence syntheses were performed both per immune marker and for the inflammatory profile. Results: Methodological quality of the 15 included articles was rated fair to good. The majority of markers were unaltered, but observed effects included a suppressive effect of exercise during radiotherapy on some proinflammatory markers, a preserving effect of exercise during chemotherapy on NK cell degranulation and cytotoxicity, a protective effect on the decrease in thrombocytes during chemotherapy, and a positive effect of exercise during chemotherapy on IgA. Conclusion: Although exercise only influenced a few markers, the results are promising. Exercise did not negatively influence immune markers, and some were positively affected since suppressed inflammation might have positive clinical implications. For future research, consensus is needed regarding a set of markers that are most responsive to exercise. Next, differential effects of training types and intensities on these markers should be further investigated, as well as their clinical implications.

Effects of adjustments in face-to-face data collection due to the COVID-19 pandemic on survey results

Like many countries, the COVID-19 pandemic has forced Statistics Netherlands to make changes in its fieldwork strategy. Since mid-March 2020, there have been limited opportunities to conduct face-to-face interviews. Therefore, from September 2020, CAPI sampled people are offered the opportunity to respond by telephone. For this purpose, face-to-face interviewers are instructed to persuade the potential respondent at the doorway. When people refuse a face-to-face interview, interviewers ask for a telephone number and try to make an appointment to conduct the interview by telephone. The aim of our study was to investigate the effects of conducting the interview by telephone instead of face-to-face on important survey outcome variables. We were particularly interested in whether differences are due to selection effects or caused by mode-specific measurement errors. Because we did not have the time or capacity to set up a controlled experiment, we performed regression analyses to decompensate the differences between selection effects and mode-specific measurement errors. We used data of the Labour Force Survey (LFS) and the Housing Survey (WoON). Our analysis showed that there were differences in important target variables, for both LFS and WoON. These differences were, however, mainly caused by selection effects – which can be taken into account for during weighting – and were less likely to be caused by mode specific measurement errors. Although there are important limitations and caveats, these findings are supportive to further implement this field strategy.

Effects of urban trees on local outdoor microclimate: synthesizing field measurements by numerical modelling