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Occupational accidents on surgeons

Jeffrey Chow, Krishnan Parthasarathi, Patrick Mehanna, Eline Whist
PURPOSE: Sight-threatening injuries associated with orbital fractures are of major concern to maxillofacial surgeons whom are often the first asked to assess these patients. Eliciting signs and symptoms that are predictive of these injuries would allow expedited ophthalmic consultation and appropriate management. We hypothesized that abnormal pupillary response is predictive of major ocular injuries. PATIENTS AND METHODS: A retrospective cohort study of patients with facial fractures was instituted with review of all associated ophthalmic injuries...
May 1, 2018: Journal of Oral and Maxillofacial Surgery
Alexa Geisthövel
The article focuses on one central element of medical activity in the context of the German social insurance system: providing expert assessments in accident pension cases. Taking an example from interwar coal mining, it aims to reconstruct how social policy makers first conceived of "pneumatic tool damages" as occupational disease and how trauma surgeons had to deal with this new entity of social law once it had been institutionalized in 1929. Drawing on physicians' publications as well as archival sources from the supreme court in social insurance, the Reichsversicherungsamt, the article examines how the controversial generation of new knowledge took place...
March 2018: NTM
Joachim Beyer, Egbert J Seidel
An early, intensive rehabilitative therapy accelerates the recovery of the functions of patients. It contributes to a reduction in the complication rate as well as an improvement in physical and social functioning/participation in the long-term follow-up. Early rehabilitation must be strengthened on the basis of the existing structures: the creation and maintenance of adequately qualified early-stage rehabilitation facilities, at least in hospitals with priority and maximum supply contracts. Patients with long-term intensive care and polytrauma must be rehabilitated as soon as possible (intensive medical rehabilitation)...
August 2017: Die Rehabilitation
Costanza Chiapponi, Christine Y Meyer, Silvia Heinemann, Frank Meyer, Peter Biberthaler, Christiane J Bruns, Karl-Georg Kanz
OBJECTIVE: Working conditions in hospitals generate stress within all professional groups. The aim of this study was to find out how German medical students during their senior student clerkship in surgery perceive their own stress and the stress of surgical residents. This was measured using "Instrument zur stressbezogenen Arbeitsanalyse bei KlinikÃrztInnen (ISAK-K)," a validated questionnaire of the German statutory occupational accident insurance system (BGW). DESIGN AND SETTING: This bi-institutional paper-and-pencil survey was performed on 52 medical students in their sixth year, who had been working in a surgical department for 4 months...
January 2017: Journal of Surgical Education
Alireza Khatony, Alireza Abdi, Faranak Jafari, Kamran Vafaei
BACKGROUND: Surgeons are one of the groups, most highly exposed to the risk of needle stick injuries at work. The present study aims to determine the prevalence and reporting of needle stick injuries during the first 6 months of 2012, in faculty surgeons affiliated to the Kermanshah University of Medical Sciences. METHODS: In a cross-sectional descriptive-analytical survey, 29 surgeons were studied based on the census method. A reliable and valid questionnaire was used as a research instrument to collect the data...
2016: Global Journal of Health Science
Stefano Chiummariello, Giuseppe Del Torto, Romano Maffia, Elisabetta Pataia, Carmine Alfano
AIM: Post-traumatic hand and forearm defects always represent a challenge for reconstructive surgeons, especially when multiple structures are involved, because of a high rate of amputation. MATERIAL OF STUDY: A 21 years old woman arrived to the E.R. with a complex crush-burn trauma of the upper limb caused by an accident with an industrial ironing machine, resulting in a ulnar bone fracture, ulnar artery laceration and a wide burn of the dorsum of the right forearm...
June 24, 2015: Annali Italiani di Chirurgia
Anna Szczypta, Anna Różańska, Małgorzata Bulanda
BACKGROUND: To analyze occupational exposures to blood-borne pathogens among workers of a 130-bed hospital of surgical profile in the Małopolska province. MATERIAL AND METHODS: All cases of occupational exposure recorded in the hospital in the years 1998-2013 were analyzed, taking into account exposure rates (no. of incidents / no. of exposed workers x100%) and the frequency, circumstances, professional groups, hospital staff, the place of rendered services and type of exposure...
2014: Medycyna Pracy
Norie Imanaka, Masato Nakasuji, Masataka Nomura, Miwako Yoshioka, Taeko Miyata, Masuji Tanaka
A 25-year-old man was admitted for arm replantation. His left upper arm was completely amputated by conveyer belt Anesthesia was induced with propofol (80 mg), rocuronium (50 mg), remifentanil (0.15 μg x kg(-1) x min(-1)) and maintained with sevoflurane (1-2%) and remifentanil (0.1-0.3 μg x kg(-1) x min(-1)). The plastic surgeons revascularized subclavian artery quickly but blood pressure decreased to 40-50 mmHg because of massive bleeding and plasma potassium concentration reached 5.8 mEq x l(-1). Noradrenaline (0...
December 2014: Masui. the Japanese Journal of Anesthesiology
E B Hunziker, K Lippuner, M J B Keel, N Shintani
OBJECTIVE: The repair of cartilaginous lesions within synovial joints is still an unresolved and weighty clinical problem. Although research activity in this area has been indefatigably sustained, no significant progress has been made during the past decade. The aim of this educational review is to heighten the awareness amongst students and scientists of the basic issues that must be tackled and resolved before we can hope to escape from the whirlpool of stagnation into which we have fallen: cartilage repair redivivus! DESIGN: Articular-cartilage lesions may be induced traumatically (e...
March 2015: Osteoarthritis and Cartilage
Guy Rubin, Kobi Peleg, Adi Givon, Nimrod Rozen
BACKGROUND: Upper extremity fractures (UEFs) associated with road traffic accidents (RTAs) may result in long-term disability. Previous studies have examined UEF profiles with small patient populations. The objective of this study was to examine the injury profiles of UEFs in all mechanisms of injury related to RTAs. METHODS: Data on 71,231 RTA adult patients between 1997 and 2012 whose records were entered in a centralized country trauma database were reviewed...
February 2015: American Journal of Emergency Medicine
Navah Z Ratzon, Yehuda Amit, Sharon Friedman, Shiri Zamir, Debbie Rand
BACKGROUND: Determining the degree of work disability following traffic accidents is very challenging. Functional capacity evaluations (FCEs) are becoming more commonly used in the process of disability assessment. OBJECTIVES: This study aimed to assess the agreement of the physicians' decision regarding the degree of work disability in two conditions: 1) based solely on a medical examination 2) based on a combined medical and FCE. METHODS: This is a cross-sectional study, with 123 individuals who experienced car accidents; 76 with whiplash-associated disorders and 47 with a hip fracture...
January 2015: Disability and Health Journal
Ananth Vijendren, Matthew Yung, Jose Sanchez
INTRODUCTION: Health-care workers are subjected to various occupational hazards within the National Health Service (NHS). Surgeons are not excluded from this group due to the nature of work carried out on a daily basis. As a result, we set out to investigate the common work-related health issues a surgeon practising in the UK may encounter. METHOD: A literature search conducted on PubMed, EMBASE, MEDLINE® and Health Management Information Consortium (HMIC) revealed 66 literature papers between the years 1990 and 2013...
December 2014: Langenbeck's Archives of Surgery
M Bouyer, D Corcella, A Forli, V Mesquida, A Semere, F Moutet
We report a unusual case of "fillet flap" to reconstruct the lower limb with the amputated contralateral leg. This kind of procedure was first described by Foucher et al. in 1980 for traumatic hand surgery as the "bank finger". A 34-year-old man suffered a microlight accident with bilateral open legs fractures. A large skin defect of the left leg exposed the ankle, the calcaneus and a non-vascularized part of the tibial nerve (10 cm). The patient came to the OR for surgical debridement and had massive bone resection of the left calcaneus...
June 2015: Annales de Chirurgie Plastique et Esthétique
Joseph R Dusseldorp, James M Allan, Madelyn H Van Der Leeden, Alex Phoon
Reconstruction of complex defects of the distal portion of the foot remains a challenging problem for plastic surgeons. A traumatic case is presented where reconstruction of a complex plantar defect of the hallux was achieved using a distally-based osteocutaneous metatarsal artery flap based on the second dorsal metatarsal artery. Local flap repair is a viable reconstructive option for complex defects of the plantar surface of the forefoot.
September 2014: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
E M Haas, E Volkmer, T Holzbach, J Wallmichrath, T O Engelhardt, R E Giunta
Severe hand traumata have a significant impact on our health system and on insurance companies, respectively. It is estimated that 33% of all occupational injuries and 9% of all invalidity pensions are due to severe hand trauma. Unfortunately, these high numbers are not only due to the severity of the trauma but to organisational deficiencies. Usually, the patient is treated at the general surgical emergency in the first place and only then forwarded to a microsurgeon. This redirection increases the time that is required for the patient to finally arrive at an expert for hand surgery...
December 2013: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Cristina Martínez González, Francisco Javier González Barcala, José Belda Ramírez, Isabel González Ros, Inmaculada Alfageme Michavila, Cristina Orejas Martínez, José Miguel González Rodríguez-Moro, José Antonio Rodríguez Portal, Ramón Fernández Álvarez
Chronic respiratory diseases often cause impairment in the functions and/or structure of the respiratory system, and impose limitations on different activities in the lives of persons who suffer them. In younger patients with an active working life, these limitations can cause problems in carrying out their normal work. Article 41 of the Spanish Constitution states that «the public authorities shall maintain a public Social Security system for all citizens guaranteeing adequate social assistance and benefits in situations of hardship»...
November 2013: Archivos de Bronconeumología
Weiliang Chua, Diarmuid Murphy, Weiming Siow, Fareed Kagda, Joseph Thambiah
INTRODUCTION: Open fractures of the tibia pose a challenge to orthopaedic and plastic surgeons. A retrospective observational review was conducted to evaluate the epidemiological factors and fracture outcomes in the Singapore context. METHODS: A nine-year period of open tibial shaft fractures presenting to our institution was reviewed. Demographic and management data were recorded. Statistical analysis was performed on the outcomes of length of hospital stay, number of operations, time to union and infection rates...
June 2012: Singapore Medical Journal
Gabriel E Ryb, Patricia C Dischinger
BACKGROUND: To evaluate whether older injured motor vehicular crash (MVC) occupants' access to trauma centers (TC) reflects the lower threshold suggested in triaging recommendations. METHODS: Adult front seat occupants of MVCs transported to a hospital from 1999 through 2006 included in the National Automotive Sampling System (NASS) were studied. Cases were classified by their age in years (≤60 years or >60 years). Younger and older injured MVC occupants were compared in relation to their likelihood of being transported to a TC...
September 2011: Journal of Trauma
Jacqueline Kimiko Matsuda, Renato Satovschi Grinbaum, Harry Davidowicz
OBJECTIVE: The goal of this study was to evaluate the infection control measures actually implemented by dental surgeons during dental practice, as patients and professionals are exposed to high biological risk in dental care environments. METHOD: 614 questionnaires (90.69%) were answered by professionals registered in updating or in post-graduate courses in the Municipality of São Paulo. RESULTS: Out of surveyed professionals 30.62% admitted that surface protection barriers were not used, whereas 34...
January 2011: Brazilian Journal of Infectious Diseases
Richard F Edlich, William B Long, K Gubler, George T Rodeheaver, John G Thacker, Anne G Wallis, Jill J Dahlstrom, Jamie J Clark, Holly S Cantrell, Samantha K Rhoads, Kant Y Lin
All surgical healthcare professionals and their patients should be aware of exposure to blood from individuals infected with potentially transmissible disease. The site that was most susceptible to sharp injuries was the index finger of the surgeon's hand. It is also important to note that needles cause the vast majority of sharp injuries. During the last two decades, there have been two revolutionary advances in preventing accidental needlestick injuries during surgery that include the development of blunt tapering point needles as well as the double-glove hole indication systems...
2010: Journal of Environmental Pathology, Toxicology and Oncology
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