Experience of Stress Assessed by Text Messages and Its Association with Objective Workload—A Longitudinal Study

Exploring stress trajectories in detail and over a long time may give valuable information in terms of both understanding and practice. We followed a group of primary health care employees in a randomized controlled trial. The objective was to describe their experience of stress, explore the intra-individual variability and examine the association between the experience of stress and the objective workload. Weekly text messages with a single item stress question were distributed in two time series: 12 weeks at the beginning of the trial and 26 weeks after the 6-month follow up. Aggregated objective data about workload were collected from their administration office and related to stress levels. There was a seasonal variation, with higher stress during the fall than in spring and summer. The analysis comparing high and low stress subgroups showed that the stress trajectory of a high-stress subgroup was different from that of a low-stress subgroup. Individuals with high exhaustion scores had higher odds of belonging to a subgroup of individuals with high intra-individual variability in stress experience. The objective workload was measured in two ways and was strongly associated with the stress experience. We found that the lower the productivity, the higher the feeling of stress.

STRUCTURAL BEHAVIOR OF PILE CAP 3 PILE WITH EKSENTRIC LOAD DESIGNED USING STRUT AND TIE MODEL WITH NUMERICAL METHOD

Pile cap is a structure to distribute load from the upper structure to the sub structure. Often the planning of the pile cap is approached as a two way slab or beam with pile as restrain, by consider the bending and shear separately. As is the case with conventional methods that consider 1-way shear, 2-way shear, and bending separately. The strut and tie model can be used as an alternative method in designing a pile cap, by approaching the stress trajectory with the truss model. In this study, a pile cap will be designed using the conventional method and the strut and tie model, the pile cap with 3 pile cap and an eccentric load. Then the results are tested numerically using Abaqus to determine the difference in behavior. The main reinforcement results from the strut and tie model method are more evenly stressed than the conventional method, also the vertical load needed to achieve the main reinforcement yield stress strut and tie model (1100 kN) is greater than the conventional method (900 kN).

The impact of life stress on adult depression and anxiety is dependent on gender and timing of exposure

There is debate about the relative importance of timing of stressful events prenatally and over the life course and risk for subsequent depressive/anxious illness. The aim of this study was to examine the relative roles of prenatal stress and postnatal stress trajectories in predicting depression and anxiety in early adulthood in males and females. Exposure to life stress events was examined in the Western Australian Pregnancy Cohort (Raine) Study during pregnancy and ages 1, 2, 3, 5, 8, 10, 14, and 17 years. At age 20, offspring completed the Depression Anxiety Stress Scale. Prenatal stress and trajectories of stress events from age 1 to 17 were analyzed in linear regression analyses. Five postnatal stress trajectories were identified. In females, medium to high chronic stress exposure or exposure during puberty/adolescence predicted depression and anxiety symptoms while low or reduced stress exposure over the life course did not, after adjustment for relevant confounders. High stress early in pregnancy contributed to male depression/anxiety symptoms independent of postnatal stress trajectory. In females, postnatal stress trajectory was more important than prenatal stress in predicting depression/anxiety symptoms. Interventions focused on reducing and managing stress events around conception/pregnancy and exposure to chronic stress are likely to have beneficial outcomes on rates of depression and anxiety in adults.