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https://www.readbyqxmd.com/read/29670997/burn-survivors-pulmonary-and-muscular-impairment-exercise-tolerance-and-return-to-work-following-medical-vocational-rehabilitation-a-long-term-follow-up
#1
Viveca Björnhagen, Kristina Schüldt Ekholm, Flemming Larsen, Jan Ekholm
OBJECTIVE: To follow up the long-term outcome in return-to-work (RTW) rate in burn-injury patients, and to determine the degree of impairment in pulmonary and muscular function and exercise tolerance. DESIGN: A prospective, longitudinal follow-up study without a control group. PATIENTS: Twenty-five burn-injury patients referred for medical-vocational rehabilitation. METHODS: Return-to-work rate was followed after completed medical-vocational rehabilitation...
April 19, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29670382/clinical-outcomes-and-health-care-utilization-pre-and-post-laparoscopic-radiofrequency-ablation-of-symptomatic-fibroids-and-laparoscopic-myomectomy-a-randomized-trial-of-uterine-sparing-techniques-trust-in-canada
#2
Darrien D Rattray, Laura Weins, Lexy C Regush, James M Bowen, Daria O'Reilly, John A Thiel
Objective: The objective of this study was to compare laparoscopic ultrasound-guided radiofrequency ablation of fibroids (Lap-RFA) and laparoscopic myomectomy in terms of 1) health care utilization and 2) serious complication rates. The secondary objectives were comparison of subject responses to validated symptom and quality-of-life questionnaires. We hypothesized that Lap-RFA health care utilization and clinical outcomes would not be worse than those of laparoscopic myomectomy in the aggregate...
2018: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/29668632/outcomes-of-using-a-modified-anteromedial-thigh-perforator-flap-for-repairing-the-anterolateral-thigh-free-flap-donor-site-a-retrospective-clinical-review
#3
Xiao Zhou, Jin Wang, Li Qiang, Yongjun Rui, Mingyu Xue
The anterolateral thigh (ALT) flap plays an essential part in plastic and reconstructive surgery. However, repair of the anterolateral donor site has not been the focus of the clinicians.To assess the clinical value and feasibility of using a modified anteromedial thigh (AMT) perforator flap for repairing the ALT free flap donor site.In this retrospective study, 16 ALT flaps were transferred to resurface large soft-tissue defects (ranged from 7 × 5 to 13 × 8 cm) in the foot or hand from June 2012 to March 2013...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29667477/return-to-work-after-severe-traumatic-brain-injury-a-national-study-with-a-one-year-follow-up-of-neurocognitive-and-behavioural-outcomes
#4
Solrun Sigurdardottir, Nada Andelic, Eike Wehling, Audny Anke, Toril Skandsen, Oyvor Oistensen Holthe, Unn Sollid Manskow, Cecilie Roe
The objectives were to investigate the frequency of return-to-work (RTW) one year after severe traumatic brain injury (sTBI: Glasgow Coma Scale, GCS 3-8) and to identify which demographic and injury-related characteristics and neurocognitive factors are associated with RTW. This study is part of a prospective national study on sTBI conducted in all four Norwegian Trauma Referral Centres, including patients aged >15 years over a period of three years (n = 378). For the purpose of this study, only pre-employed individuals of working age (16 to 67 years) were investigated for RTW (n = 143), and of these, 104 participants underwent neuropsychological testing...
April 18, 2018: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29666701/beyond-weight-loss-establishing-a-postbariatric-surgery-patient-support-group-what-do-patients-want
#5
Saira Hameed, Victoria Salem, Tricia M Tan, Alma Collins, Krishna Shah, Samantha Scholtz, Ahmed R Ahmed, Harvinder Chahal
Purpose: There are limited resources for long-term specialist follow-up after bariatric surgery. In selected centres, patients can access a postoperative support group, but there is no clear evidence to guide their delivery. Materials and Methods: A retrospective study of bariatric surgery patients ( n  = 152) who had been discharged from specialist follow-up (mean time since surgery 5.5 years), covering weight history, physical and psychosocial comorbidities, and the need for a postoperative bariatric support group...
2018: Journal of Obesity
https://www.readbyqxmd.com/read/29665736/fear-avoidance-and-clinical-outcomes-from-mild-traumatic-brain-injury
#6
Noah D Silverberg, William Panenka, Grant L Iverson
Characterizing psychological factors that contribute to persistent symptoms after mild traumatic brain injury (MTBI) can inform early intervention. To determine whether fear avoidance, a known risk factor for chronic disability after musculoskeletal injury, is associated with worse clinical outcomes from MTBI, adults were recruited from four outpatient MTBI clinics and assessed at their first clinic visit (M=2.7, SD=1.5 weeks post-injury) and again 4-5 months later. Of 273 patients screened, 102 completed the initial assessment and 87 returned for the outcome assessment...
April 18, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29660295/breastfeeding-twins-factors-related-to-weaning
#7
Fernanda Cristina Ferreira Mikami, Rossana Pulcineli Vieira Francisco, Agatha Rodrigues, Wagner Rodrigues Hernandez, Marcelo Zugaib, Maria de Lourdes Brizot
BACKGROUND: Many factors may influence a woman's decision to start and maintain breastfeeding. Research aim: This study aimed to investigate the factors associated with breastfeeding cessation in twin infants during the first 6 months after birth and to describe the main reasons for weaning cited by mothers of twins. METHODS: This is a secondary data analysis of a prospective randomized trial conducted in Brazil. Data were obtained through longitudinal quantitative and qualitative self-reported interviews...
April 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29649613/anxiety-and-depression-in-spine-surgery-a-systematic-integrative-review
#8
REVIEW
Janni Strøm, Merete B Bjerrum, Claus V Nielsen, Cecilie N Thisted, Tove L Nielsen, Malene Laursen, Lene B Jørgensen
BACKGROUND: Symptoms of preoperative anxiety and depression occur in approximately one-third of patients with chronic back pain undergoing surgery. In the last 2 decades, several studies have established that preoperative anxiety and depression are important outcome predictors of greater pain and physical impairments, and lower health-related quality of life in patients undergoing spine surgery. To accommodate symptoms of anxiety and depression and thereby better surgical outcomes, we need to identify factors associated with these symptoms...
April 9, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29644920/sick-listed-workers-expectations-about-and-experiences-with-independent-medical-evaluation-a-qualitative-interview-study-from-norway
#9
Aase Aamland, Silje Maeland
PURPOSE: To reduce the country's sick leave rate, Norwegian politicians have suggested independent medical evaluations (IMEs) for sick-listed workers. IME was tested in a large, randomized controlled trial in one Norwegian county (Evaluation of IME in Norway, or 'the NIME trial'). The current study´s aim was to explore sick-listed workers' expectations about and experiences with participating in an IME. MATERIAL AND METHODS: Nine individual semi-structured telephone interviews were conducted...
April 12, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29644290/posterior-dislocation-of-a-native-hip-joint-associated-with-ipsilateral-per-trochanteric-fracture-a-rare-case-report
#10
Mazin Fageir, Manoj Kumar Puthiyavaniya Veettil
We describe a case of traumatic posterior dislocation of a native hip joint associated with ipsilateral comminuted inter-trochanteric femoral fracture. In our case, closed reduction was attempted but proved unsuccessful. Taking into account the planned subsequent intra-medullary femoral nail, open reduction through a lateral incision was undertaken. Post-operatively, the planned mobility was for a non-weight bearing period of 6 weeks followed by a partial-weight bearing period of 6 weeks before progressing to full-weight bearing...
February 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29629818/prevalence-of-exclusive-breastfeeding-and-factors-associated-with-exclusive-breastfeeding-of-children-in-trongsa-district-bhutan
#11
Dolley Tshering, Mongal Singh Gurung, Neyzang Wangmo, Dorji Pelzom, Phudit Tejativaddhana, Laigden Dzed
The World Health Organization estimated that about 800 000 infant deaths could be prevented annually by exclusively breastfeeding infants for the first 6 months of life. This study aimed to examine the prevalence of exclusive breastfeeding and its associated factors. A total of 192 mothers participated. The prevalence of exclusive breastfeeding practice in Trongsa district was 97% at 1 month, declining to 58% at 6 months. Mothers who returned to formal work were less likely to exclusively breastfeed than those who were farmers or housewives...
April 1, 2018: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/29628712/best-care-paradigm-to-optimize-functionality-after-extra-articular-distal-humeral-fractures-in-the-young-patient
#12
REVIEW
Mark S Ayoub, Ivan S Tarkin
For younger patients with extra-articular distal humerus fractures closed management is plagued with high rates of malunion, suboptimal functional outcomes, extended immobilization with loss of early motion, a delay in return to work, and a general period of lost productivity. Surgical management offers an appealing alternative. Maintaining respect for the triceps musculature and minimizing iatrogenic injury to the radial nerve are primary concerns with operative treatment. Accordingly, use of a triceps-sparing approach and single column plating may be the optimal treatment paradigm in the young patient presenting with an extra-articular distal humerus fracture...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29624081/metal-resurfacing-inlay-implant-for-osteochondral-talar-defects-after-failed-previous-surgery-a-midterm-prospective-follow-up-study
#13
Gwendolyn Vuurberg, Mikel L Reilingh, Christiaan J A van Bergen, Inge C M van Eekeren, Rogier M Gerards, C Niek van Dijk
BACKGROUND: Treatment of osteochondral talar defects (OCDs) after failed previous surgery is challenging. Promising short-term results have been reported with use of a metal resurfacing inlay implant. PURPOSE: To evaluate the midterm clinical effectiveness of the metal implant for OCDs of the medial talar dome after failed previous surgery. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We prospectively studied all patients who met the inclusion criteria and received a metal resurfacing inlay implant between 2007 and 2014...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29622574/german-wide-prospective-dacapo-cohort-of-survivors-of-the-acute-respiratory-distress-syndrome-ards-a-cohort-profile
#14
Frank Dodoo-Schittko, Susanne Brandstetter, Magdalena Brandl, Sebastian Blecha, Michael Quintel, Steffen Weber-Carstens, Stefan Kluge, Thomas Kirschning, Thomas Muders, Sven Bercker, Björn Ellger, Christian Arndt, Patrick Meybohm, Michael Adamzik, Anton Goldmann, Christian Karagiannidis, Thomas Bein, Christian Apfelbacher
PURPOSE: While most research focuses on the association between medical characteristics and residual morbidity of survivors of the acute respiratory distress syndrome (ARDS), little is known about the relation between potentially modifiable intensive care unit (ICU) features and the course of health-related quality of life (HRQoL). Accordingly, the DACAPO study was set up to elucidate the influence of quality of intensive care on HRQoL and return to work (RtW) in survivors of ARDS. The continued follow-up of these former ICU patients leads to the establishment of the DACAPO (survivor) cohort...
April 4, 2018: BMJ Open
https://www.readbyqxmd.com/read/29621995/labour-force-participation-and-the-cost-of-lost-productivity-due-to-cancer-in-australia
#15
Nicole Bates, Emily Callander, Daniel Lindsay, Kerrianne Watt
BACKGROUND: In Australia, 40% of people diagnosed with cancer will be of working age (25-64 years). A cancer diagnosis may lead to temporary or permanent changes in a person's labour force participation, which has an economic impact on both the individual and the economy. However, little is known about this economic impact of cancer due to lost productivity in Australia. This paper aims to determine the labour force participation characteristics of people with cancer, to estimate the indirect cost due to lost productivity, and to identify any inequality in the distribution of labour force absence in Australia...
April 6, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29618124/microsurgical-resection-of-a-large-intraventricular-trigonal-tumor-3-dimensional-operative-video
#16
Chun-Yu Cheng, Rakshith Shetty, Laligam N Sekhar
A 62-yr-old woman presented with incidentally detected left trigonal mass by magnetic resonance imaging (MRI) performed during workup for left-sided hearing loss and vertigo of 5-yr duration. Due to persistent dizziness, headache, and progressive enlargement of the tumor in follow-up scans, operation was planned. Because the tumor extended superiorly, a superior parietal lobule approach was selected.She underwent a left parietal craniotomy. A strip electrode was used to localize the motor and sensory regions, and neuronavigation was used to confirm the entry site...
March 30, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29616288/organ-support-therapy-in-the-intensive-care-unit-and-return-to-work-a-nationwide-register-based-cohort-study
#17
Signe Riddersholm, Steffen Christensen, Kristian Kragholm, Christian F Christiansen, Bodil Steen Rasmussen
PURPOSE: The association between severity of illness and ability to return to work is unclear. Therefore, we investigated return to work and associations with measures of illness severity in ICU survivors. METHODS: We conducted this cohort study using Danish registry data for the period 2005-2014 on ICU patients who were discharged alive from hospital, had an ICU length of stay (LOS) of at least 72 h, were not treated with dialysis before hospital admission and were working prior to admission...
April 3, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29614128/return-to-work-for-multiple-jobholders-with-a-work-related-musculoskeletal-disorder-a-population-based-matched-cohort-in-british-columbia
#18
Esther T Maas, Mieke Koehoorn, Christopher B McLeod
INTRODUCTION: Multiple jobholders (MJHs) have a higher risk of injury compared to single jobholders (SJHs), but it is unknown if return-to-work (RTW) after a work injury is affected by multiple jobholding. This study examined the association between multiple versus single jobholding and time to RTW for workers with a work-related musculoskeletal disorder (MSD). METHODS: We used administrative workers' compensation data to identify injured workers with an accepted MSD lost-time claim between 2010-2014 in British Columbia, Canada (n = 125,639 SJHs and 9,029 MJHs)...
2018: PloS One
https://www.readbyqxmd.com/read/29613934/the-socioeconomic-implications-of-isolated-tibial-and-femoral-fractures-from-road-traffic-injuries-in-uganda
#19
Nathan N O'Hara, Rodney Mugarura, Jeffrey Potter, Trina Stephens, M Marit Rehavi, Patrick Francois, Piotr A Blachut, Peter J O'Brien, Alex Mezei, Tito Beyeza, Gerard P Slobogean
BACKGROUND: The purpose of this study was to determine the socioeconomic implications of isolated tibial and femoral fractures caused by road traffic injuries in Uganda. METHODS: This prospective longitudinal study included adult patients who were admitted to Uganda's national referral hospital with an isolated tibial or femoral fracture. The primary outcome was the time to recovery following injury. We assessed recovery using 4 domains: income, employment status, health-related quality of life (HRQoL) recovery, and school attendance of the patients' dependents...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29611158/decreased-time-to-return-to-work-using-robotic-assisted-unicompartmental-knee-arthroplasty-compared-to-conventional-techniques
#20
Alexander H Jinnah, Marco A Augart, Daniel L Lara, Riyaz H Jinnah, Gary G Poehling, Chukwuweike U Gwam, Johannes F Plate
INTRODUCTION: Unicompartmental knee arthroplasty (UKA) is a commonly used procedure for patients suffering from debilitating unicompartmental knee arthritis. For UKA recipients, robotic-assisted surgery has served as an aid in improving surgical accuracy and precision. While studies exist detailing outcomes of robotic UKA, to our knowledge, there are no studies assessing time to return to work using robotic-assisted UKA. Thus, the purpose of this study was to prospectively assess the time to return to work and to achieve the level of work activity following robotic-assisted UKA to create recommendations for patients preoperatively...
March 29, 2018: Surgical Technology International
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