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Workers Compensation

Judith E Gold, Laura Punnett, Rebecca J Gore
OBJECTIVES: Healthcare workers have high rates of low back pain (LBP) related to handling patients. A large chain of nursing homes experienced reduced biomechanical load, compensation claims and costs following implementation of a safe resident handling programme (SRHP). The aim of this study was to examine whether LBP similarly declined and whether it was associated with relevant self-reported occupational exposures or personal health factors. METHODS: Worker surveys were conducted on multiple occasions beginning with the week of first SRHP introduction (baseline)...
November 10, 2016: Occupational and Environmental Medicine
Florence M Koechlin, Virginia A Fonner, Sarah L Dalglish, Kevin R O'Reilly, Rachel Baggaley, Robert M Grant, Michelle Rodolph, Ioannis Hodges-Mameletzis, Caitlin E Kennedy
Daily oral pre-exposure prophylaxis (PrEP) is the use of antiretroviral drugs by HIV-negative people to prevent HIV infection. WHO released new guidelines in 2015 recommending PrEP for all populations at substantial risk of HIV infection. To prepare these guidelines, we conducted a systematic review of values and preferences among populations that might benefit from PrEP, women, heterosexual men, young women and adolescent girls, female sex workers, serodiscordant couples, transgender people and people who inject drugs, and among healthcare providers who may prescribe PrEP...
November 29, 2016: AIDS and Behavior
Darren Beales, Kal Fried, Michael Nicholas, Fiona Blyth, Damien Finniss, G Lorimer Moseley
Models of Care (MoCs) for injured workers in the compensation environment recommend adoption of biopsychosocial management approaches. Still, widespread dominance of biomedical constructs at the system, organisational and individual levels of the compensation system prevails, contributing to suboptimal management practices and outcomes for injured workers. Efforts to implement contemporary MoCs in the compensation environment show some promise in improving outcomes. Areas of promise at the organisational level, particularly in the workplace, and at the system level are discussed...
June 2016: Best Practice & Research. Clinical Rheumatology
Hongdeok Seok, Jin-Ha Yoon, Jaehoon Roh, Jihyun Kim, Yeong-Kwang Kim, Wanhyung Lee, Jeongbae Rhie, Jong-Uk Won
OBJECTIVES: We aimed to investigate the health inequity of victims of occupational accidents through the association between socioeconomic status and unmet healthcare need. METHODS: Data from the first and second Panel Study of Workers' Compensation Insurance were used, which included 1,803 participants. The odds ratio and 95% confidence intervals for the unmet healthcare needs of participants with a lower socioeconomic status and other socioeconomic statuses were investigated using multivariate regression analysis...
November 22, 2016: Journal of Occupational Health
Timothy D Taulbee, Keith A McCartney, Richard Traub, Matthew H Smith, James W Neton
Since 2000, National Institute for Occupational Safety and Health (NIOSH) has used dose conversion coefficients published by the International Commission on Radiation Protection in report 74 (ICRP 74) to determine organ dose from external radiation sources. In 2010, the ICRP issued publication 116 using more realistic phantoms than ICRP 74. NIOSH has developed a Monte Carlo method to sample the energy-organ-specific distribution of the ICRP 116 conversion coefficients to determine the organ dose and the associated uncertainty...
November 24, 2016: Radiation Protection Dosimetry
Richard Diana
In the article "A Proposal to Address NFL Club Doctors' Conflicts of Interest and to Promote Player Trust," Glenn Cohen et al. write, "The [NFL's] current structure forces club doctors to have obligations to two parties-the club and the player-and to make difficult judgments about when one party's interests must yield to another's." I can understand why some might be suspicious about bias in the current NFL medical system, in which the club doctors have a professional duty to put their player-patients' best interests first yet are employed by clubs, which have a primary goal of winning football games...
November 2016: Hastings Center Report
Helen R Marucci-Wellman, Helen L Corns, Mark R Lehto
Injury narratives are now available real time and include useful information for injury surveillance and prevention. However, manual classification of the cause or events leading to injury found in large batches of narratives, such as workers compensation claims databases, can be prohibitive. In this study we compare the utility of four machine learning algorithms (Naïve Bayes, Single word and Bi-gram models, Support Vector Machine and Logistic Regression) for classifying narratives into Bureau of Labor Statistics Occupational Injury and Illness event leading to injury classifications for a large workers compensation database...
November 15, 2016: Accident; Analysis and Prevention
Dana Madigan, Linda Forst, Lee S Friedman
BACKGROUND: The physical and psychological risks of temporary employment are well documented but there are still many questions regarding the consequences of injuries among these workers. METHODS: This analysis examines Illinois Workers' Compensation Commission filings from 2007 through 2012 to compare total cost of the decision, days of work missed, and percent disability of employees of temporary agencies with direct hire claims. RESULTS: Total award median was $5,813...
November 15, 2016: American Journal of Industrial Medicine
Bryan Combs, Karen Heaton
Musculoskeletal injuries in the occupational setting have significant impact on the worker, employer, and healthcare system. The commercial truck driver (CTD) experiences some of the highest rates of injury, missed days of work, and workers' compensation costs compared with other workers. In this population, the back is most commonly affected whereas shoulder injuries are the second but require 5 times more days away from work. Commercial truck drivers are significantly impacted by shoulder injuries; however, little is known about the unique mechanisms of injury, specific injuries, or possible preventative measures among this group of workers...
November 2016: Orthopaedic Nursing
Pamela J Lail, Sarah S Laird, Kris McCall, Joe Naretto, April York
This article examines the current state of affairs of the health information management role in facility closure as well as the impact on revenue cycle operations. Health information management professionals are uniquely positioned to assist an organization in closure efforts because of their knowledge of revenue cycle operations, ability to work with the software products used to generate and store patient information, and solid understanding of the process of care and treatment of the patient. This information is integral to ensuring that patient information in a variety of formats and locations is properly secured and saved so that it will be available to patients and caregivers who need it after the facility closes...
2016: Perspectives in Health Information Management
Erik Y Tye, Joshua Anderson, Arnold Haas, Rick Percy, Stephen T Woods, Nicholas Ahn
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To compare outcomes in Workers' compensation (WC) subjects receiving decompression alone versus decompression and fusion for the indication of degenerative spinal stenosis (DLS) without deformity or instability. SUMMARY OF BACKGROUND DATA: The use of a fusion procedure during lumbar decompression for DLS alone remains controversial. We hypothesize that WC subjects receiving fusion and decompression will return to work less and incur greater medical costs compared to subjects receiving decompression alone...
November 9, 2016: Spine
Judith A McInnes, Muhammad Akram, Ewan M MacFarlane, Tessa Keegel, Malcolm R Sim, Peter Smith
OBJECTIVES: The aim of this study was to investigate the association between high ambient temperature and acute work-related injury, expanding on previous research in this area. Specifically we examined the relationship between both daytime and overnight temperatures and injury risk and disentangled physically demanding occupational exposures from exposure to outdoor working conditions. METHODS: A time-stratified case-crossover study design was used to examine the association between ambient temperatures and acute work-related injuries in Melbourne, Australia, 2002-2012, using workers' compensation claims to identify work-related injuries...
November 9, 2016: Scandinavian Journal of Work, Environment & Health
Jaeyoung Kim, Yeongchull Choi
Little is known about gender differences in the association between occupational injury and depression. We investigated the bidirectional association and gender differences between work-related injury and depression using the same cohort in the US Medical Expenditure Panel Survey (MEPS). In Analysis 1, the association of occupational injury and subsequent depression was investigated from 35,155 employees without depression. Analysis 2 included 32,355 participants without previous injury and examined the association of depression and work-related injury...
November 2, 2016: International Journal of Environmental Research and Public Health
Stephen S Johnston, Andrea H Alexander, Elizabeth T Masters, Jack Mardekian, David Semel, Elisabetta Malangone-Monaco, Ellen Riehle, Kathleen Wilson, Alesia Sadosky
OBJECTIVE: To compare 12-month healthcare costs between employees with versus without diagnosed opioid abuse within 12 months after an injury-related workers' compensation (WC) or short-term disability (STD) claim. METHODS: Retrospective study using 2003 to 2014 US insurance claims linked to administrative data on WC/STD claims. Multivariable models compared healthcare costs between employees with versus without diagnosed opioid abuse. RESULTS: Study included 107,975 opioid-treated employees with an injury-related WC or STD claim...
November 2016: Journal of Occupational and Environmental Medicine
J Mouton, H Houdre, R Beccari, N Tarissi, M Autran, I Auquit-Auckbur
BACKGROUND: The SHAM Insurance Company in Lyon, France, estimated that inadequate hand wound exploration in the emergency room (ER) accounted for 10% of all ER-related personal injury claims in 2013. The objective of this study was to conduct a critical analysis of 80 claims that were related to hand wound management in the ER and led to compensation by SHAM. MATERIAL AND METHODS: Eighty claims filed between 2007 and 2010 were anonymised then included into the study...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
R Tiagi
BACKGROUND: Empirical evidence on occupational injury and/or fatality rates among Canada's immigrants has been largely mixed and has almost exclusively focused on the first generation. Over time, as immigrants assimilate into the economy, future generations may be expected to work in less hazardous occupations compared with prior generations. There has been no prior analysis of the differences in occupational injury and fatality rates among later generations. AIMS: To analyse whether there are intergenerational differences in occupational injury and fatality rates among the first, second and third (or more) immigrant generations in Canada...
November 4, 2016: Occupational Medicine
Heather M Shearer, Pierre Côté, Eleanor Boyle, Jill A Hayden, John Frank, William G Johnson
Purpose Our objective was to develop a clinical prediction model to identify workers with sustainable employment following an episode of work-related low back pain (LBP). Methods We used data from a cohort study of injured workers with incident LBP claims in the USA to predict employment patterns 1 and 6 months following a workers' compensation claim. We developed three sequential models to determine the contribution of three domains of variables: (1) basic demographic/clinical variables; (2) health-related variables; and (3) work-related factors...
November 2, 2016: Journal of Occupational Rehabilitation
Darren Beales, Tim Mitchell, Naomi Pole, James Weir
BACKGROUND: Biopsychosocially informed education is associated with improved back pain beliefs and positive changes in health care practitioners' practice behaviours. OBJECTIVE: Assess the effect of this type of education for insurance workers who are important non-clinical stakeholders in the rehabilitation of injured workers. METHODS: Insurance workers operating in the Western Australian workers' compensation system underwent two, 1.5 hour sessions of biopsychosocially informed education focusing on understanding and identifying barriers to recovery of injured workers with musculoskeletal conditions...
October 28, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Theodoros B Grivas, R Geoffrey Burwell, Vasileios Kechagias, Christina Mazioti, Apostolos Fountas, Dimitra Kolovou, Evangelos Christodoulou
BACKGROUND: The historical view of scoliosis as a primary rotation deformity led to debate about the pathomechanic role of paravertebral muscles; particularly multifidus, thought by some to be scoliogenic, counteracting, uncertain, or unimportant. Here, we address lateral lumbar curves (LLC) and suggest a pathomechanic role for quadrates lumborum, (QL) in the light of a new finding, namely of 12th rib bilateral length asymmetry associated with idiopathic and small non-scoliosis LLC. METHODS: Group 1: The postero-anterior spinal radiographs of 14 children (girls 9, boys 5) aged 9-18, median age 13 years, with right lumbar idiopathic scoliosis (IS) and right LLC less that 10°, were studied...
2016: Scoliosis and Spinal Disorders
Jessica Gundy Cuneo, M Scott DeBerard, Anthony J Wheeler
STUDY DESIGN: This study was a retrospective-cohort design involving a review of patient medical and cost records and a 2-year post surgery follow-up outcome survey. OBJECTIVE: To evaluate the functional and cost outcomes associated with recent lumbar fusion surgeries in Utah workers and compare these outcomes with a comparable prior study cohort. SUMMARY OF BACKGROUND DATA: Lumbar fusion performed on injured workers has dramatically increased over the past two decades and this likely coincided with the increased use of more advanced surgical instrumentation...
October 24, 2016: Spine
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