Kimmo Räsänen | University of Eastern Finland (original) (raw)

Papers by Kimmo Räsänen

Research paper thumbnail of Occupational health care personnel tackling alcohol overuse – an observational study of work processes and patient characteristics

BMC Public Health, 2022

Background Overuse of alcohol is a significant risk factor for early retirement. This observation... more Background Overuse of alcohol is a significant risk factor for early retirement. This observational study investigated patient characteristics and work processes in occupational health care (OHC) affecting practices in tackling alcohol overuse. Methods The data were from 3089 patient contacts gathered for quality improvement purposes in fifteen OHC units during the years 2013–2019 in Finland. A two-proportion z-test was performed to find associations between reason for contact, and 17 other factors, and the probability of alcohol use being checked and overuse tackled. Results OHC personnel checked alcohol use twice as often with male patients as with female patients. Employees at risk of needing sick leave were checked for alcohol use more often (55.4, 95% confidence interval 49.2–61.6%) than those on > 30-day sick leave or working with permanent work disability (p < 0.01). Alcohol use was checked in 64.1% (59.5–68.7%) of patients while making an individual health promotion pl...

Research paper thumbnail of Työntekijöiden terveys- ja turvallisuusriskit rakennusten kosteusvaurioselvityksissä

Research paper thumbnail of Tyypin 1 diabetesta sairastava työelämässä

Research paper thumbnail of Työterveyshuoltoon erikoistuvien lääkärien ohjaaminen palkitsee

Suomen Lääkärilehti, 2014

Research paper thumbnail of Eläinlääkärien terveys ja elintavat

Suomen Lääkärilehti, 2003

Research paper thumbnail of 1187 Prevention of disability pension in occupational health care – a five year follow-up of improvement in the quality network

Work Disability Prevention and Integration, 2018

Research paper thumbnail of Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent

Occupational and Environmental Medicine

ObjectivesWork disability management is a problem globally. This study was designed to find out w... more ObjectivesWork disability management is a problem globally. This study was designed to find out whether the initiation, process and outcome of health check-ups (HCUs) follow the national legislation and whether supervisors and occupational healthcare (OHC) units act according to the legislation-based recommendations.MethodsData of 1092 employees with reduced work ability were collected during 2013–2018 in 15 OHC units across Finland. Nine reasons for HCUs, eight process activities and three recommendations were analysed. Cross-tabulation and multinomial logistic regression analysis were used in the analyses.ResultsEmployees themselves initiated an HCU for early support more often (OR with 95% CI 2.37; 1.04 to 5.40) compared with supervisors. Personnel in OHC units initiated an HCU in musculoskeletal disorders more often (OR 1.58; 95% CI 1.05 to 2.37) and in mental disorders less often (OR 0.52; 95% CI 0.35 to 0.76) compared with supervisors. These findings were reflected in the reco...

Research paper thumbnail of Forces required in repositioning a patient in bed using regular sheet and slide film

International Journal of Industrial Ergonomics

Research paper thumbnail of Työterveyshuolto Suomessa vuonna 2015: ja kehitystrendi 2000–2015

Research paper thumbnail of Additional file 1: Table S1. of Work-related diabetes distress among Finnish workers with type 1 diabetes: a national cross-sectional survey

The association of work-related, diabetes-related, and health-related variables with diabetes-rel... more The association of work-related, diabetes-related, and health-related variables with diabetes-related stress at work and HbA1c level, blood glucose high at work, and depressive symptoms. Standardized (β) and non-standardized (B) regression coefficients. (DOCX 14 kb)

Research paper thumbnail of Additional file 1: Table S1. of Working people with type 1 diabetes in the Finnish population

Incidence of type 1 diabetes among Finns aged 18–39 years in 1992–2007. Annual numbers for incide... more Incidence of type 1 diabetes among Finns aged 18–39 years in 1992–2007. Annual numbers for incidence of type 1 diabetes among Finns aged 18–39 years in 1992–2007. (DOCX 18 kb)

Research paper thumbnail of Työterveyshuollon erikoislääkärikoulutuksen laatu on arvioitu

Research paper thumbnail of Sensitivity and background staining of the unlabeled antibody enzyme (PAP) method. new approaches to the investigation of the effects of non-immune serum, primary antiserum concentration and pronase digestion using formalin fixed paraffin embedded material

The effect of primary antibody concentration, non-immune serum, and pronase digestion on the stai... more The effect of primary antibody concentration, non-immune serum, and pronase digestion on the stainability of immunoglobulin containing cells (plasma cells) and background stainability was investigated using the peroxidase-antiperoxidase (PAP) method and antigens consisting of formalin fixed paraffin embedded maxillary mucosa, colonic mucosa, inflammatory synovia and soft-tissue plasmocytoma. The effect of primary anti-serum concentration and non-immune serum on cell and background stainability was smaller, but pronase digestion clearly improved positive stainability and reduced background stainability.

Research paper thumbnail of Työterveyshuollon hyvä sairaanhoitokäytäntö

Research paper thumbnail of Työterveyshuolto Suomessa vuonna 2015: ja kehitystrendi 2000–2015

Research paper thumbnail of Work environment and occupational health of Finnish veterinarians

American Journal of Industrial Medicine, 2003

Research paper thumbnail of Systematic review: Factors associated with return to work in burnout

Occupational Medicine, 2017

Research paper thumbnail of The association between chronotype and sleep quality among female home care workers performing shift work

Chronobiology International

There is a scarcity of evidence on the association between shift work, sleeping parameters, heart... more There is a scarcity of evidence on the association between shift work, sleeping parameters, heart rate variability (HRV), and chronotype, i.e., morningness and eveningness. The aims of this study were to 1) compare participants with different chronotypes (morning (M), evening (E), or neither (N)) in terms of their total sleep time, sleep efficiency, and HRV parameters, taking their age into account, and 2) examine whether self-reported work-related stress, the length of the working career and years performing shift work affect this association. The participants of the study were home care workers working in two shifts in one municipality in Eastern Finland (N = 395). Of these, 52 females (mean age 42.78 y, SD 12.92 y) completed the study questionnaire and participated in physiological measurements. Several sleep-related parameters were assessed (total sleep time, sleep efficiency, number of awakenings, and length of awakening) and indices of autonomic nervous system based on HRV were calculated. The participants worked in two shifts: a morning shift (7:00-15:00 h) and an evening shift (14:00-21:30 h). All these parameters were assessed during the night before the first work shift (N1), the night before the second work shift (N2), the night before the final work shift (N3), and the night before the first day off work (N4). According to the results, 21.2% of the participants were M-types, 17.3% were E-types, and 61.5% were N-types. On average, the participants had been in working life for 18.8 years and performing shift work for 13.7 years. On night N3, E-types had a significantly shorter total sleep time and spent less time in bed compared to M- and N-types. The total sleep time of M-type and N-type participants was on average 66 minutes and 82 minutes longer, respectively, when compared to E-types on night N3. There were no statistically significant differences in actigraphy-based sleep quality parameters between M-, N-, and E-types on nights N1, N2, and N4. Our results together indicate that M- and N-type individuals may have better sleep quality than E-types, which was also reflected in HRV parameters. Further research with longitudinal study design and workplace interventions is needed to determine how the chronotype can be optimally and individually utilized to improve the health and well-being of morning-type and evening-type people. This is particularly important for both younger and older workers entering the workforce to support healthier and longer working lives.

Research paper thumbnail of Additional file 3: Table S3. of Working people with type 1 diabetes in the Finnish population

Characteristics of the participants in the "People with Type 1 Diabetes in Worklife" su... more Characteristics of the participants in the "People with Type 1 Diabetes in Worklife" survey. (DOCX 14 kb)

Research paper thumbnail of Additional file 2: Table S2. of Working people with type 1 diabetes in the Finnish population

Working aged (18–64 years) general Finnish population, and age-standardized prevalence and propor... more Working aged (18–64 years) general Finnish population, and age-standardized prevalence and proportion of type 1 diabetes among working aged individuals, labor force and employed individuals in Finland in 1992–2007. Annual numbers for working aged (18–64 years) general Finnish population, and age-standardized prevalence and proportion of type 1 diabetes among working aged individuals, labor force and employed individuals in Finland in 1992–2007. (DOCX 18 kb)

Research paper thumbnail of Occupational health care personnel tackling alcohol overuse – an observational study of work processes and patient characteristics

BMC Public Health, 2022

Background Overuse of alcohol is a significant risk factor for early retirement. This observation... more Background Overuse of alcohol is a significant risk factor for early retirement. This observational study investigated patient characteristics and work processes in occupational health care (OHC) affecting practices in tackling alcohol overuse. Methods The data were from 3089 patient contacts gathered for quality improvement purposes in fifteen OHC units during the years 2013–2019 in Finland. A two-proportion z-test was performed to find associations between reason for contact, and 17 other factors, and the probability of alcohol use being checked and overuse tackled. Results OHC personnel checked alcohol use twice as often with male patients as with female patients. Employees at risk of needing sick leave were checked for alcohol use more often (55.4, 95% confidence interval 49.2–61.6%) than those on > 30-day sick leave or working with permanent work disability (p < 0.01). Alcohol use was checked in 64.1% (59.5–68.7%) of patients while making an individual health promotion pl...

Research paper thumbnail of Työntekijöiden terveys- ja turvallisuusriskit rakennusten kosteusvaurioselvityksissä

Research paper thumbnail of Tyypin 1 diabetesta sairastava työelämässä

Research paper thumbnail of Työterveyshuoltoon erikoistuvien lääkärien ohjaaminen palkitsee

Suomen Lääkärilehti, 2014

Research paper thumbnail of Eläinlääkärien terveys ja elintavat

Suomen Lääkärilehti, 2003

Research paper thumbnail of 1187 Prevention of disability pension in occupational health care – a five year follow-up of improvement in the quality network

Work Disability Prevention and Integration, 2018

Research paper thumbnail of Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent

Occupational and Environmental Medicine

ObjectivesWork disability management is a problem globally. This study was designed to find out w... more ObjectivesWork disability management is a problem globally. This study was designed to find out whether the initiation, process and outcome of health check-ups (HCUs) follow the national legislation and whether supervisors and occupational healthcare (OHC) units act according to the legislation-based recommendations.MethodsData of 1092 employees with reduced work ability were collected during 2013–2018 in 15 OHC units across Finland. Nine reasons for HCUs, eight process activities and three recommendations were analysed. Cross-tabulation and multinomial logistic regression analysis were used in the analyses.ResultsEmployees themselves initiated an HCU for early support more often (OR with 95% CI 2.37; 1.04 to 5.40) compared with supervisors. Personnel in OHC units initiated an HCU in musculoskeletal disorders more often (OR 1.58; 95% CI 1.05 to 2.37) and in mental disorders less often (OR 0.52; 95% CI 0.35 to 0.76) compared with supervisors. These findings were reflected in the reco...

Research paper thumbnail of Forces required in repositioning a patient in bed using regular sheet and slide film

International Journal of Industrial Ergonomics

Research paper thumbnail of Työterveyshuolto Suomessa vuonna 2015: ja kehitystrendi 2000–2015

Research paper thumbnail of Additional file 1: Table S1. of Work-related diabetes distress among Finnish workers with type 1 diabetes: a national cross-sectional survey

The association of work-related, diabetes-related, and health-related variables with diabetes-rel... more The association of work-related, diabetes-related, and health-related variables with diabetes-related stress at work and HbA1c level, blood glucose high at work, and depressive symptoms. Standardized (β) and non-standardized (B) regression coefficients. (DOCX 14 kb)

Research paper thumbnail of Additional file 1: Table S1. of Working people with type 1 diabetes in the Finnish population

Incidence of type 1 diabetes among Finns aged 18–39 years in 1992–2007. Annual numbers for incide... more Incidence of type 1 diabetes among Finns aged 18–39 years in 1992–2007. Annual numbers for incidence of type 1 diabetes among Finns aged 18–39 years in 1992–2007. (DOCX 18 kb)

Research paper thumbnail of Työterveyshuollon erikoislääkärikoulutuksen laatu on arvioitu

Research paper thumbnail of Sensitivity and background staining of the unlabeled antibody enzyme (PAP) method. new approaches to the investigation of the effects of non-immune serum, primary antiserum concentration and pronase digestion using formalin fixed paraffin embedded material

The effect of primary antibody concentration, non-immune serum, and pronase digestion on the stai... more The effect of primary antibody concentration, non-immune serum, and pronase digestion on the stainability of immunoglobulin containing cells (plasma cells) and background stainability was investigated using the peroxidase-antiperoxidase (PAP) method and antigens consisting of formalin fixed paraffin embedded maxillary mucosa, colonic mucosa, inflammatory synovia and soft-tissue plasmocytoma. The effect of primary anti-serum concentration and non-immune serum on cell and background stainability was smaller, but pronase digestion clearly improved positive stainability and reduced background stainability.

Research paper thumbnail of Työterveyshuollon hyvä sairaanhoitokäytäntö

Research paper thumbnail of Työterveyshuolto Suomessa vuonna 2015: ja kehitystrendi 2000–2015

Research paper thumbnail of Work environment and occupational health of Finnish veterinarians

American Journal of Industrial Medicine, 2003

Research paper thumbnail of Systematic review: Factors associated with return to work in burnout

Occupational Medicine, 2017

Research paper thumbnail of The association between chronotype and sleep quality among female home care workers performing shift work

Chronobiology International

There is a scarcity of evidence on the association between shift work, sleeping parameters, heart... more There is a scarcity of evidence on the association between shift work, sleeping parameters, heart rate variability (HRV), and chronotype, i.e., morningness and eveningness. The aims of this study were to 1) compare participants with different chronotypes (morning (M), evening (E), or neither (N)) in terms of their total sleep time, sleep efficiency, and HRV parameters, taking their age into account, and 2) examine whether self-reported work-related stress, the length of the working career and years performing shift work affect this association. The participants of the study were home care workers working in two shifts in one municipality in Eastern Finland (N = 395). Of these, 52 females (mean age 42.78 y, SD 12.92 y) completed the study questionnaire and participated in physiological measurements. Several sleep-related parameters were assessed (total sleep time, sleep efficiency, number of awakenings, and length of awakening) and indices of autonomic nervous system based on HRV were calculated. The participants worked in two shifts: a morning shift (7:00-15:00 h) and an evening shift (14:00-21:30 h). All these parameters were assessed during the night before the first work shift (N1), the night before the second work shift (N2), the night before the final work shift (N3), and the night before the first day off work (N4). According to the results, 21.2% of the participants were M-types, 17.3% were E-types, and 61.5% were N-types. On average, the participants had been in working life for 18.8 years and performing shift work for 13.7 years. On night N3, E-types had a significantly shorter total sleep time and spent less time in bed compared to M- and N-types. The total sleep time of M-type and N-type participants was on average 66 minutes and 82 minutes longer, respectively, when compared to E-types on night N3. There were no statistically significant differences in actigraphy-based sleep quality parameters between M-, N-, and E-types on nights N1, N2, and N4. Our results together indicate that M- and N-type individuals may have better sleep quality than E-types, which was also reflected in HRV parameters. Further research with longitudinal study design and workplace interventions is needed to determine how the chronotype can be optimally and individually utilized to improve the health and well-being of morning-type and evening-type people. This is particularly important for both younger and older workers entering the workforce to support healthier and longer working lives.

Research paper thumbnail of Additional file 3: Table S3. of Working people with type 1 diabetes in the Finnish population

Characteristics of the participants in the "People with Type 1 Diabetes in Worklife" su... more Characteristics of the participants in the "People with Type 1 Diabetes in Worklife" survey. (DOCX 14 kb)

Research paper thumbnail of Additional file 2: Table S2. of Working people with type 1 diabetes in the Finnish population

Working aged (18–64 years) general Finnish population, and age-standardized prevalence and propor... more Working aged (18–64 years) general Finnish population, and age-standardized prevalence and proportion of type 1 diabetes among working aged individuals, labor force and employed individuals in Finland in 1992–2007. Annual numbers for working aged (18–64 years) general Finnish population, and age-standardized prevalence and proportion of type 1 diabetes among working aged individuals, labor force and employed individuals in Finland in 1992–2007. (DOCX 18 kb)