BackgroundInformation technologies in occupational activities have been developing very rapid. Epidemiological studies have shown that musculoskeletal disorders are widely prevalent among employees working with a computer. The aim of this study was to evaluate the prevalence of musculoskeletal pain in various anatomical areas and its associations with individual, ergonomic, and psychosocial factors among computer workers of the public sector in Kaunas County, Lithuania.MethodsThe investigation consisting of two parts – questionnaire study (Nordic Musculoskeletal Questionnaire and Copenhagen Psychosocial Questionnaire) and direct observation (evaluation of work ergonomics using the Rapid Upper Limb Assessment [RULA]) – was carried out in three randomly selected public sector companies of Kaunas County. The representative study sample comprised 513 public service office workers. The prevalence of musculoskeletal pain in five anatomical areas of the body (shoulders, elbows, wrists/hands, as well as upper and low back) was evaluated.ResultsThe prevalence rates of shoulder, elbow, wrist/hand, upper and low back pain were 50.5 %, 20.3 %, 26.3 %, 44.8 %, and 56.1 %, respectively. Individual factors such as gender, age, computer work experience, and body mass index were found as significant for musculoskeletal pain in various musculoskeletal regions. The respondents reporting pain in shoulder, wrist/hand, upper back, and low back areas had a statistically significantly higher mean RULA score. The duration of working with a computer was found as a significant factor for shoulder pain. High quantitative demands were related to musculoskeletal pain in all investigated anatomical areas expect for the low back; weak social support was a significant predictor for complaints in upper and low back areas.ConclusionThis study confirmed associations between musculoskeletal pain and work ergonomics; therefore, preventive measures at the workplace should be directed to the improvement in ergonomic work environment, education, and workload optimization.

Some researchers have hypothesised that meteorological factors may have an impact on acute cerebrovascular diseases. The aim of this study was to determine an impact of some meteorological factors on occurrence of acute cerebrovascular events in the middle-aged Kaunas population. Kaunas stroke register data were used. Data on meteorological factors for the time period from 2000 to 2010 were obtained from the Lithuanian Hydrometeorological Service Kaunas Meteorological Station. We analysed 4038 cases with stroke. Ischemic strokes composed 80.4% and haemorrhagic strokes-19.6%. According to Poisson regression analysis, significant negative correlation between ischemic, haemorrhagic and all types of stroke and ambient air temperature was found (β coefficient - 0.007, -0.016, -0.009, p < 0.001, respectively). Results of ARIMA showed that ambient temperature of the day of stroke onset was associated with the occurrence of ischemic, haemorrhagic and all types of stroke: when temperature was lower, the risk of stroke was higher (-0.006, -0.003, -0.009, p < 0.001, respectively). Low temperature on the event day and 1 and 2 days before the event was associated with higher incidence of haemorrhagic stroke in women. Low ambient temperature on the event day increased incidence of haemorrhagic stroke in subjects 55-64 years. High wind speed on the event day was associated with higher incidence of ischemic stroke in older subjects. Meteorological factors may have some impact on the risk of acute cerebrovascular events. Health care providers should focus on preventive measures, which can reduce these risks.

Acute myocardial infarction (AMI) is a major public health problem. Cold winter weather increases the risk of AMI, but factors influencing susceptibility are poorly known. We conducted an individual-level case-crossover study of the associations between winter cold spells and the risk of AMI, with special focus on survival at 28 days and effect modification by age and sex. All 16,071 adult cases of AMI among the residents of the city of Kaunas in Lithuania in 2000–2015 were included in the study. Cold weather was statistically defined using the 5th percentile of frequency distribution of daily mean temperatures over the winter months. According to conditional logistic regression controlling for time-varying and time-invariant confounders, each additional cold spell day during the week preceding AMI increased the risk of AMI by 5% (95% CI 1–9%). For nonfatal and fatal cases, the risk increase per each additional cold spell day was 5% (95% CI 1–9%) and 6% (95% CI − 2–13%), respectively. The effect estimate was greater for men (OR 1.07, 95% CI 1.02–1.12) than for women (OR 1.02, 95% CI 0.97–1.08), but there was no evidence of effect modification by age. Evidence on factors increasing susceptibility is critical for targeted cold weather planning.

AbstractTo evaluate the possibilities of physical activity in developing inmates’ healthy lifestyle and social skills. The research, which was conducted in 2009 in Pravieniskes First and Second Correction Houses, was local and cross-sectional using a written questionnaire. The questionnaire consisted of four groups of questions/statements: I — demographic questions; II — questions/statements about inmates’ physical (sports) activities (was created for this study) and III — assessment of inmates’ social skills. And IV — assessment of inmates’ self esteem. Sufficiently physically active inmates (n=185) comprised 57.8 percent of the total number of respondents. Inmates’ physical activity statistically significantly (p<0.05) correlates with their younger age. Secondary education is prevailing in the group of physically active inmates, while primary — lower secondary education predominates in the group of physically inactive inmates (n=135). Only less than 6 percent of inmates have higher education. The average age of physically active inmates is statistically significantly lower than that of physically inactive inmates, 26 and 31.6 years respectively (p=0.01). The analysis of inmates’ contentment with their psychological state and satisfaction with health care services, food quality, and conditions for sports activities showed that physically active inmates are more critical about these factors than physically inactive inmates. Only the contentment with psychological state in physically active inmates is statistically significantly higher than in inactive inmates. Out of eleven social skills assessed in the study, only two skills (ability to initiate conversation with a stranger and sense of responsibility) are statistically significant (p<0.05). The probability that the convicts who have a strong sense of responsibility tend to be more physically active than the inmates who do not consider themselves responsible is 7.4 times higher. The study results showed that self-esteem in physically active inmates is statistically significantly higher that in physically inactive inmates (p=0.033). Low self-esteem was not determined in any inmates.

The effects of charged solar particles hitting the Earth’s magnetosphere are often harmful and can be dangerous to the human organism. The aim of this study was to analyze the associations of geomagnetic storms (GSs) and other space weather events (solar proton events (SPEs), solar flares (SFs), high-speed solar wind (HSSW), interplanetary coronal mass ejections (ICMEs) and stream interaction regions (SIRs)) with morbidity from acute myocardial infarction (AMI) and mortality from ischemic heart diseases (IHDs) during the period 2000–2015 in Kaunas (Lithuania). In 2000–2015, 12,330 AMI events (men/women n = 6942/5388) and 3742 deaths from IHD (men/women n = 2480/1262) were registered. The results showed that a higher risk of AMI and deaths from IHD were related to the period of 3 days before GS—a day after GS, and a stronger effect was observed during the spring–autumn period. The strongest effect of HSSW was observed on the day of the event. We found significant associations between the risk of AMI and death from IHD and the occurrence of SFs during GSs. We also found a statistically significant increase in rate ratios (RRs) for all AMIs and deaths from IHD between the second and fourth days of the period of ICMEs.