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"return to work"

Julia H Kim, Jong C Shin, Sharon M Donovan
Background Returning to work is one of the main barriers to breastfeeding duration among working mothers in the United States. However, the impact of workplace lactation programs is unclear. Research Aim The aim of this study was to evaluate the effectiveness of workplace lactation programs in the United States on breastfeeding practices. Methods A systematic search was conducted of seven databases through September 2017. Articles ( N = 10) meeting the inclusion criteria of describing a workplace lactation intervention and evaluation in the United States and measuring initiation, exclusivity, or duration using an experimental or observational study design were critically evaluated...
June 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Oskar Mittag, Toomas Kotkas, Christina Reese, Hanna Kampling, Henning Groskreutz, Wouter de Boer, Felix Welti
OBJECTIVES: Working age disability is a major challenge for policymakers in European countries. This pertains to both occupational reintegration and social benefits for work incapacity. In many states reforms have been initiated aimed at reducing disability scheme inflow and fostering return to work. Our study was motivated by the question as to which aspects of these reforms seem to have been effective. METHODS: Three different approaches were utilized: case vignettes, interviews and expert workshops in the respective countries (Netherlands and Germany in 2012; Finland in 2015), and a systematic search for relevant studies on occupational reintegration was performed...
June 20, 2018: International Journal of Public Health
Christian Hetzel, Marco Streibelt
BACKGROUND AND OBJECTIVE: Vocational retrainings (VR) in the context of vocational rehabilitation are lengthy and expansive interventions. The question is whether the return to work (RTW) 12 months after VR can be a proxy variable for long term income trajectories. METHODS: Based on register data of the German Pension Insurance (Scientific Use File SUFRSDLV09B) fixed-effects-regressions were calculated to measure the effect of VR on the annual mean daily income in each of the 3 years after VR compared to initial level prior to VR and depending on the RTW...
June 2018: Die Rehabilitation
Sebastian Klaus, Alexander Meschnig, Ernst von Kardorff
OBJEKTIVES: Using qualitative-hermeneutical methods with a focus on biographical (risk-) constellations for conditions of success or failure of return to work - and therefore on the efficiency and sustainability of employment participation benefits - the study accompanies participants during a time span of 2 years after their vocational retraining on their way back into the first labor market. METHODS: The study applies a mixed method design which combines 30 episodical-narrative interviews of participating rehabilitants alongside with a questionnaire survey of a total of 214 participants and 19 interviews of scientists and vocational retraining experts...
June 2018: Die Rehabilitation
Heike Ohlbrecht, Carsten Detka, Susanne Kuczyk, Bianca Lange
OBJECTIVE: The study focuses on the question of how the design of operational integration management (OIM) can be optimized, especially in small and medium-sized enterprises (SMEs), and how previous experience with operational integration management can be used to develop preventive measures to ensure employability. METHODS: The study follows a multi-perspective qualitative research design. It focused on the survey of 40 retrospective interviews with employees who have undergone different variants of the OIM...
June 2018: Die Rehabilitation
Fiona Chance-Larsen, Kenneth Chance-Larsen, Anestis Divanoglou, Andrew Baird
BACKGROUND: Nonspecific low back pain (LBP) can progress to chronic disability and prolonged absence from work. Despite clinical and professional guidelines, physiotherapists often fail to address return to work outcomes. AIMS: The aim of this exploratory study was to determine whether an e-learning resource tailored to physiotherapy practice could affect physiotherapists' attitudes and beliefs regarding return to work advice for their patients. DESIGN: A prospective interventional cohort study (pilot)...
June 20, 2018: Physiotherapy Theory and Practice
H F Dorland, F I Abma, C A M Roelen, R Stewart, B C Amick, U Bültmann, A V Ranchor
OBJECTIVE: Cancer patients can experience work-specific cognitive symptoms post return to work (RTW). The study aims to: 1) describe the course of work-specific cognitive symptoms in the first 18 months post RTW, and 2) examine the associations of work characteristics, fatigue and depressive symptoms with work-specific cognitive symptoms over time. METHODS: This study used data from the 18-months longitudinal "Work Life after Cancer" cohort. The Cognitive Symptom Checklist-Work, Dutch Version (CSC-W DV) was used to measure work-specific cognitive symptoms...
June 19, 2018: Psycho-oncology
J Oates, J Jones, N Drey
Background: Staff well-being is vital to the functioning of the UK National Health Service (NHS). Mental health nurses (MHNs) with personal experience of mental illness can offer a professionally and personally informed insight into the occupational health (OH) service offered by their employer. Aims: To investigate MHNs' views of OH provision in the NHS, based on their personal experience. Methods: A qualitative interview study using a purposive sample of MHNs with personal experience of mental illness...
June 16, 2018: Occupational Medicine
Roberto Moccaldi
OBJECTIVES: L'applicazione del metodo della Probability of Causation (PC) è certamente ampio poiché è oggi lo strumento riconosciuto per la individuazione del nesso di causa non solo nelle richieste di indennizzo in ambito assicurativo (per il quale è stata utilizzato inizialmente) ma anche per dirimere contenziosi giuridici in ambito civilistico e penalistico. METHODS: Thanks to the Italian Association of Medical Radiation Protection (AIRM), PC method has been recently proposed as an aid for the radiation protection occupational physician in medical assessments involving both the mandatory actions that, in case of suspicion of occupational disease, the physician needs to perform (report / complaint / reporting) and the expression of the fitness evaluation in case of return to work after cancer and clinical recovery...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Giuseppe Taino, Lorenzo Bordini, Marcello Imbriani
OBJECTIVES: The continuous scientific advances against neoplastic diseases affecting all areas of oncology biomedical research. Age is an extremely important factor in cancer development, since the incidence of cancer increases significantly with age. Because of aging of the Italian population, although the incidence is kept constant, the number of cancer diagnosis is inevitably going to increase over time only to increasing age. METHODS: Survival after the diagnosis of cancer is one of the main indicators that allow to evaluate the effectiveness of the health system against the cancer disease...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Huynh Thi Loan, Lam Minh Yen, Evelyne Kestelyn, Nguyen Van Hao, Nguyen Thi Hoang Mai, Duong Bich Thuy, Ha Thi Hai Duong, Nguyen Thi Phuong Dung, Nguyen Hoan Phu, Pham Thi Lieu, Tran Tan Thanh, Ronald Geskus, H Rogier van Doorn, Le Van Tan, Duncan Wyncoll, Nicholas P J Day, Tran Tinh Hien, Guy E Thwaites, Nguyen Van Vinh Chau, C Louise Thwaites
Tetanus remains a significant burden in many low- and middle-income countries. The tetanus toxin acts within the central nervous system and intrathecal antitoxin administration may be beneficial, but there are safety concerns, especially in resource-limited settings. We performed a pilot study to assess the safety and feasibility of intrathecal human tetanus immunoglobulin in five adults with tetanus before the conduct of a large randomized controlled trial. Intrathecal injection via lumbar puncture was given to all patients within a median 140 (range 100-165) minutes of intensive care unit (ICU) admission...
June 18, 2018: American Journal of Tropical Medicine and Hygiene
Lene Aasdahl, Vegard Stolsmo Foldal, Martin Inge Standal, Roger Hagen, Roar Johnsen, Marit Solbjør, Marius Steiro Fimland, Heidi Fossen, Chris Jensen, Gunnhild Bagøien, Vidar Halsteinli, Egil Andreas Fors
BACKGROUND: Motivational interviewing (MI), mainly used and shown effective in health care (substance abuse, smoking cessation, increasing exercise and other life style changes), is a collaborative conversation (style) about change that could be useful for individuals having problems related to return to work (RTW). The aim of this paper is to describe the design of a randomized controlled trial evaluating the effect of MI on RTW among sick listed persons compared to usual care, in a social security setting...
June 18, 2018: BMC Public Health
C Horwood, L Haskins, I M Engebretsen, S Phakathi, C Connolly, A Coutsoudis, L Spies
BACKGROUND: Increasing the rate of exclusive breastfeeding (EBF) to 50% in the first six months of life is one of six major global targets set by the United Nations Decade of Nutrition, and is essential to achieve the sustainable development goals to eradicate hunger and end malnutrition by 2030. METHODS: A survey using multistage random sampling design included 99 primary health care (PHC) clinics in all 11 districts in KwaZulu-Natal (KZN). All mothers and caregivers of infants 14 weeks of age attending the clinics in the study period were requested to participate in a structured interview to explore feeding practices since birth...
June 19, 2018: BMC Public Health
Andrew C Meltzer, Pamela Katzen Burrows, Allan B Wolfson, Judd E Hollander, Michael Kurz, Ziya Kirkali, John W Kusek, Patrick Mufarrij, Stephen V Jackman, Jeremy Brown
Importance: Urinary stone disease is a common presentation in the emergency department, and α-adrenergic receptor blockers, such as tamsulosin, are commonly used to facilitate stone passage. Objective: To determine if tamsulosin promotes the passage of urinary stones within 28 days among emergency department patients. Design, Setting, and Participants: We conducted a double-blind, placebo-controlled clinical trial from 2008 to 2009 (first phase) and then from 2012 to 2016 (second phase)...
June 18, 2018: JAMA Internal Medicine
Lisa Holmlund, Claes Hultling, Eric Asaba
Involving persons with spinal cord injury (SCI) as experts in their lives is important for research to design relevant health care interventions. The purpose of this study was to use photovoice methods to explore experiences of barriers and possibilities in return to work among working adults with SCI. The photovoice group consisted of six persons living with SCI that met weekly over 2 months to share and discuss photos related to return to work. Five themes were identified: (a) there is only one way, (b) welcome back-or not, (c) to be like anyone else-or to be perceived as someone else, (d) friction in the absence of clarity, and (e) finding integrated strategies for everyday life with work...
June 1, 2018: Qualitative Health Research
Tarsila Pagnan Silva Dos Santos, Marcelo Tavares de Oliveira, Luiz Carlos Angelini
Objective: To assess the homodigital flap surgical procedure, as well as the function of the finger, pain, sensation, esthetics, and patient satisfaction. Method: Retrospective analysis of records and questionnaires of patients who underwent this surgical technique between the months of May 2013 and October 2016. Eight were included in the study, with an average follow-up period of 23 months. Patients with digital pulp lesions of the thumbs and those who did not perform rehabilitation were excluded...
March 2018: Revista Brasileira de Ortopedia
Márcio Aurélio Aita, Ricardo Carvalho Mallozi, Willian Ozaki, Douglas Hideo Ikeuti, Daniel Alexandre Pereira Consoni, Gustavo Mantovanni Ruggiero
Objectives: To measure the quality of life and clinical outcomes of patients treated with interosseous membrane (IOM) ligament reconstruction of the forearm, using the brachioradialis (BR), and describe a new surgical technique for the treatment of joint instability of the distal radioulnar joint (DRUJ). Methods: From January 2013 to September 2016, 24 patients with longitudinal injury of the distal radioulnar joint DRUJ were submitted to surgical treatment with a reconstruction procedure of the distal portion of the interosseous membrane or distal oblique band (DOB)...
March 2018: Revista Brasileira de Ortopedia
John R Worley, Olubusola Brimmo, Clayton W Nuelle, James L Cook, James P Stannard
The purpose of this study was to determine incidence of concurrent peroneal nerve injury and to compare outcomes in patients with and without peroneal nerve injury after surgical treatment for multiligament knee injuries (MLKIs). A retrospective study of 357 MLKIs was conducted. Patients with two or more knee ligaments requiring surgical reconstruction were included. Mean follow-up was 35 months (0-117). Incidence of concurrent peroneal nerve injury was noted and patients with and without nerve injury were evaluated for outcomes...
June 13, 2018: Journal of Knee Surgery
M Robinson, L Ward, H Mehanna, V Paleri, S C Winter
BACKGROUND: Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection. METHOD: Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients. RESULTS: Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients...
June 13, 2018: Journal of Laryngology and Otology
Bruno Trezzini, Urban Schwegler, Jan D Reinhardt
STUDY DESIGN: Observational study based on the 2012 community survey of the Swiss Spinal Cord Injury Cohort Study (SwiSCI). OBJECTIVES: To investigate work and wellbeing-related consequences of different return-to-work (RTW) pathways after SCI. SETTING: Community-based. METHODS: Using a subsample of 243 SwiSCI participants, we determined whether a respondent had returned to the pre-injury employer, started with a new employer or had not returned to gainful employment post-SCI...
June 12, 2018: Spinal Cord
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