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https://www.readbyqxmd.com/read/29223881/time-of-return-back-to-work-and-complications-following-cross-finger-flaps-in-industrial-workers-comparison-between-immediate-post-operative-mobilization-versus-immobilization-until-flap-division
#1
M M Al-Qattan
INTRODUCTION: Previous authors have immobilized the injured hand or digits following cross finger flaps. PATIENTS AND METHODS: About 3 years ago, the author adopted a protocol of immediate postoperative active and passive mobilization (without a splint) following cross finger flap surgery in industrial workers. The current study is a retrospective audit comparing postoperative complications and time of return back to work following cross-finger flaps in two groups of injured industrial workers: Group I (n=12) had immediate postoperative mobilization; and Group II (n=12) had immobilization till the time of flap division...
November 28, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29217338/-occupational-risks-during-pregnancy-feedback-from-occupational-medical-services
#2
J-B Henrotin, M Vaissière, M Etaix, M Dziurla, S Malard, D Lafon
OBJECTIVES: To describe the follow-up of pregnancies at work and exposures to pregnancy occupational hazards. METHODS: A cross-sectional study was performed between January and December 2014 in occupational health services of Languedoc-Roussillon region. Eligible workers were interviewed by occupational health physicians (OHPs) after delivery and at the time of returning to work (exposure, anticipation, prevention, communication, sick leave). Occupational skill levels were classified according to the French standard classification of occupations (version 2003) from the French National Institute of Statistics...
December 4, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29216666/-cardiac-rehabilitation
#3
Bernhard Schwaab
Physical training, psychosocial intervention, nutrition counselling and optimisation of secondary preventive medication to reduce morbidity and mortality of the disease as well as the reintegration into social life and return to work are equivalent goals of cardiac rehabilitation. This requires multifactorial intervention by a multidisciplinary team. In Germany, cardiac rehabilitation starting early after an index event could demonstrate a significant reduction of total mortality, myocardial infarction and hospitalisation during a follow-up of 1-2 years in 5 controlled cohort studies including 12 556 patients after myocardial infarction and CABG surgery...
December 7, 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/29215811/impacts-of-return-to-work-type-and-period-on-job-retention-in-workers-with-occupational-injuries-and-diseases
#4
Inchul Jeong, Jae Bum Park, Hyoung Ryoul Kim, Jin Ha Yoon, Jong Uk Won, Jaehoon Roh
BACKGROUND: Despite the necessity of job retention in achieving return-to-work (RTW) goals, many workers leave their jobs after returning to work. The objective of this study was to examine the impacts of RTW type and period on job retention in Korean workers with occupational injuries and diseases. METHODS: Data were derived from the Panel Study of Worker's Compensation Insurance, including data from 2,000 systemically sampled workers who had finished recuperation in 2012; three waves of survey data were included in the analyses...
January 1, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29212492/using-patient-data-to-optimize-an-expert-based-guideline-on-convalescence-recommendations-after-gynecological-surgery-a-prospective-cohort-study
#5
Esther V A Bouwsma, Johannes R Anema, A Vonk Noordegraaf, Henrica C W de Vet, Judith A F Huirne
BACKGROUND: Convalescence advice is often based on tradition and anecdote from health care providers, rather than being based on experiences from patients themselves. The aim of this study was to analyse recovery in terms of resumption of various daily activities including work, following different laparoscopic and abdominal surgery in order to optimize an expert-based guideline on convalescence recommendations. METHODS: This is a prospective cohort study conducted in nine general and one university hospital in the Netherlands...
December 6, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29212387/employee-experience-of-workplace-supervisor-contact-and-support-during-long-term-sickness-absence
#6
Nicholas J Buys, John Selander, Jing Sun
PURPOSE: Workplace support is an important factor in promoting successful return to work. The purpose of this article is to examine relationships between supervisor contact, perceived workplace support and demographic variables among employees on long-term sickness absence. MATERIALS AND METHOD: Data were collected from 204 public employees at a municipality in Sweden who had been on long term sickness absence (60 days or more) using a 23 question survey instrument that collected information on demographic variables, supervisor contact and perceived workplace support...
December 7, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29210462/vocational-rehabilitation-for-enhancing-return-to-work-in-workers-with-traumatic-upper-limb-injuries
#7
REVIEW
Wen-Hsuan Hou, Ching-Chi Chi, Heng-Lien Lo, Yun-Yun Chou, Ken N Kuo, Hung-Yi Chuang
BACKGROUND: Traumatic upper limb injury is a leading cause of work-related disability. After return-to-work (RTW), many survivors of injuries are able to regain a quality of life (QoL) comparable with the normal population. Since RTW plays an important role in economic productivity and regaining health-related QoL, enhancing RTW in workers with traumatic limb injuries is the primary goal of rehabilitation. Vocational rehabilitation has been commonly employed in the field of occupational safety and health to increase the number of injured people returning to the labour market, prevent illness, increase well-being, and reduce disability...
December 6, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29209834/breast-cancer-survivors-return-to-work-and-wage-loss-in-selected-hospitals-in-malaysia
#8
T T Su, M Azzani, F L Tan, S Y Loh
PURPOSE: This study aimed, firstly, to assess the determinants of return to work (RTW), secondly, to explore the amount of annual wage loss, and finally, to discover the determinants of wage loss among breast cancer (BC) survivors. METHODS: A cross-sectional study design was used in this research. The data was collected via interview using a validated questionnaire. Logistic regression models were developed to discover the significant determinants of RTW and of wage loss among BC survivors...
December 5, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29209780/quality-of-work-experience-after-angioplasty-or-heart-surgery-a-monocentric-cohort-study
#9
Massimo Miglioretti, Andrea Gragnano, Giacomo Baiardo, Gaia Savioli, Luca Corsiglia, Raffaele Griffo
PURPOSE: The study evaluated work experience changes and its determinants after return to work (RTW) in angioplasty or heart surgery patients. METHODS: During a 1-year period (2014) in a Rehabilitation Hospital in northwestern Italy, we approached 253 patients (19.3% of inpatients). 199 patients consented to complete a survey on job characteristics, job satisfaction, job involvement, illness perception, depression, anxiety, adherence to therapy, and sociodemographic characteristics...
December 5, 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/29206274/predictors-of-return-to-work-in-patients-with-chronic-musculoskeletal-pain-a-randomized-clinical-trial
#10
Randi Brendbekken, Arild Vaktskjold, Anette Harris, Tone Tangen
OBJECTIVE: To assess the predictive effect of a multidisciplinary intervention programme, pain, work-related factors and health, including anxiety/depression and beliefs, on return-to-work for patients sick-listed due to musculoskeletal pain. DESIGN: A randomized clinical study. METHODS: A total of 284 patients were randomized to either a multidisciplinary intervention programme (n = 141) or to a less resource-demanding brief intervention (n = 143)...
December 5, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29205611/return-to-work-intervention-during-cancer-treatment-the-providers-experiences
#11
K S Petersen, A H Momsen, C M Stapelfeldt, P R Olsen, C V Nielsen
To explore in-depth understanding of providers' experiences when involved in a return-to-work (RTW) intervention offered during cancer treatment. Semi-structured individual interviews and participant observations at a hospital department and two municipal job centers were carried out, including ten providers (physicians, nurses and social workers). A phenomenological-hermeneutic approach was applied, involving coding, identification of themes and interpretation of findings. Three major themes were identified: Treatment first, Work as an integrated component in cancer rehabilitation, and Challenges in bringing up work issues...
December 4, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29202633/arthroscopic-management-of-posterior-instability-of-the-shoulder-a-systematic-review-of-predictive-factors-associated-with-poorer-surgical-outcomes
#12
Sachin Ramesh Jain, Andrew Arjun Sayampanathan, Andrew Hwee Chye Tan
INTRODUCTION: We aimed to perform a systematic review to identify factors that may lead to poorer outcomes in arthroscopic surgery for posterior shoulder instability. METHODS: We searched MEDLINE, Embase and the Cochrane Database of Systematic Reviews for 757 unique articles. We eventually included 22 articles. Data were analysed using Review Manager 5.3. RESULTS: The presence of chondral damage was associated with poorer outcomes as reflected in a higher post-operative Quick Disabilities of theArm, Shoulder and Hand score (mean difference (MD) = 17...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29199916/independent-medical-evaluation-for-sick-listed-workers-in-norway-a-focus-group-study-of-the-experience-of-ime-doctors
#13
Aase Aamland, Irene Øyeflaten, Silje Maeland
BACKGROUND: Norwegian politicians have proposed the use of an independent medical evaluation (IME) as a possible solution for reducing long-term sick leave. The use of an IME implies that a new doctor interferes in the relationship between sick-listed workers and their general practitioner (GP). The aim of the current study was to explore experiences of IME doctors from an ongoing randomized controlled trial (the NIME trial evaluating the effect of IME in Norway). METHODS: Two focus group interviews were conducted with eight of the nine IME doctors employed in the NIME trial...
December 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29197414/integrated-mental-health-care-and-vocational-rehabilitation-to-improve-return-to-work-rates-for-people-on-sick-leave-because-of-depression-and-anxiety-the-danish-ibbis-trial-study-protocol-for-a-randomized-controlled-trial
#14
Rie Poulsen, Andreas Hoff, Jonas Fisker, Carsten Hjorthøj, Lene Falgaard Eplov
BACKGROUND: Depression and anxiety are among the largest contributors to the global burden of disease and have negative effects on both the individual and society. Depression and anxiety are very likely to influence the individual's work ability, and up to 40% of the people on sick leave in Denmark have depression and/or anxiety. There is no clear evidence that treatment alone will provide sufficient support for vocational recovery in this group. Integrated vocational and health care services have shown good effects on return to work in other, similar welfare contexts...
December 2, 2017: Trials
https://www.readbyqxmd.com/read/29197404/integrated-mental-health-care-and-vocational-rehabilitation-to-improve-return-to-work-rates-for-people-on-sick-leave-because-of-exhaustion-disorder-adjustment-disorder-and-distress-the-danish-ibbis-trial-study-protocol-for-a-randomized-controlled-trial
#15
Rie Poulsen, Jonas Fisker, Andreas Hoff, Carsten Hjorthøj, Lene Falgaard Eplov
BACKGROUND: Common mental disorders are important contributors to the global burden of disease and cause negative effects on both the individual and society. Stress-related disorders influence the individual's workability and cause early retirement pensions in Denmark. There is no clear evidence that mental health care alone will provide sufficient support for vocational recovery for this group. Integrated vocational and health care services have shown good effects on return to work in other similar welfare contexts...
December 2, 2017: Trials
https://www.readbyqxmd.com/read/29195773/cognitive-deficits-in-bipolar-disorders-implications-for-emotion
#16
REVIEW
Isabela M M Lima, Andrew D Peckham, Sheri L Johnson
Prominent cognitive deficits have been documented in bipolar disorder, and multiple studies suggest that these deficits can be observed among non-affected first-degree relatives of those with bipolar disorder. Although there is variability in the degree of cognitive deficits, these deficits are robustly relevant for functional outcomes. A separate literature documents clear difficulties in emotionality, emotion regulation, and emotion-relevant impulsivity within bipolar disorder, and demonstrates that these emotion-relevant variables are also central to outcome...
November 21, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/29193303/diagnosis-treatment-and-outcome-of-cranial-nuchal-bursitis-in-30-horses
#17
A L Bergren, G A Abuja, K A Bubeck, T J P Spoormakers, J M García-López
BACKGROUND: No large retrospective case series describing the treatment and outcomes following diagnosis of cranial nuchal bursitis have been published. OBJECTIVE: To describe the clinical presentation, diagnostic techniques, treatment and outcome of horses suffering from cranial nuchal bursitis and to determine their outcome after medical or surgical treatment. STUDY DESIGN: Retrospective case series. METHODS: Medical records (1990-2014) of two referral centres were reviewed for signalment, diagnostic features, method of treatment (medical, surgical or both) and outcome...
November 28, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29192369/insurers-influences-on-attending-physicians-of-workers-sick-listed-for-common-mental-disorders-what-are-the-impacts-on-physicians-practices
#18
Chantal Sylvain, Marie-José Durand, Pascale Maillette
Purpose In many jurisdictions, general practitioners (GPs) play an important role in the sick-leave and return-to-work (RTW) process of individuals with common mental disorders (CMD). Since it is insurers that decide on workers' eligibility for disability benefits, they can influence physicians' ability to act. The nature of these influences remains little documented to date. The aim of this study was therefore to describe these influences and their impacts from the GPs' perspective. Methods Semi-structured interviews were conducted with GPs having a diversified clientele (n = 13)...
November 30, 2017: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/29191542/self-inflicted-dry-wall-screws-in-the-sagittal-sinus
#19
Kern H Guppy, Calvin Ochi
A 30-year-old right hand male with a history of schizophrenia presented with two self-inflicted drywall screws in the skull. The patient was sleepy but easily arousable with blood tests showing he had taken methamphetamines. Computed Tomography (CT) and Computed Tomography angiography (CTA) of the head showed the frontal screw abutted left of the superior sagittal sinus while the posterior screw went through the superior sagittal sinus with no extravasation of contrast at either site. Both screws were removed with exposure of the sagittal sinus using "U" shape craniectomies...
November 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29191407/occupational-outcomes-following-combat-related-gunshot-injury-cohort-study
#20
Matthew D Laughlin, Philip J Belmont, Paul J Lanier, Julia O Bader, Brian R Waterman, Andrew J Schoenfeld
BACKGROUND: The long-term impact of gun violence on physical function and occupational disability remains poorly explored. We sought to examine the effect of combat-related gunshot injury on work capacity within a cohort of military servicemembers and identify clinical characteristics that influence the capacity to return to work. METHODS: A query was performed to identify all servicemembers injured by gunshot in the years 2005-2009. These soldiers were then followed for a period up to the end of 2014 in order to identify those separated from service due to an inability to perform military duties as a result of their injury...
November 27, 2017: International Journal of Surgery
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