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Legal back pain

Elpidoforos S Soteriades
BACKGROUND: Workplace modified duty programs may provide reasonable accommodations to employees who have partial temporary job disability and could work on duty accommodations until they fully recover. However, little is known about the implementation barriers and effectiveness of such programs. OBJECTIVE: This study is aimed at evaluating the implementation of a modified duty program for employees in an oncology center. METHODS: A modified duty program for employees working at the Bank of Cyprus Oncology Center, a non profit organization with 200 employees located in the Republic of Cyprus was evaluated based on the health records of the occupational medicine department...
2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
Michael Schneider, Donald Murphy, Jan Hartvigsen
OBJECTIVE: The purpose of this commentary is to provide an argument for the role and identity of chiropractors as spine care providers within the context of the greater health care system. DISCUSSION: Surveys of the general public and chiropractors indicate that the majority of patients seek chiropractic services for back and neck pain. Insurance company utilization data confirm these findings. Regulatory and legal language found in chiropractic practice acts reveals that most jurisdictions define the chiropractic scope of practice as based on a foundation of spine care...
December 2016: Journal of Chiropractic Humanities
(no author information available yet)
BACKGROUND: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases (NCDs) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015), we estimated the incidence, prevalence, and years lived with disability for diseases and injuries at the global, regional, and national scale over the period of 1990 to 2015...
October 8, 2016: Lancet
Jackie Inch, Terry Porteous, Vivienne Maskrey, Annie Blyth, Jackie Burr, Jennifer Cleland, David J Wright, Richard Holland, Christine M Bond, Margaret C Watson
BACKGROUND: Effective management of minor ailments in community pharmacies could reduce the burden on alternative high-cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies. OBJECTIVE: To explore the appropriateness of minor ailment management in community pharmacies. SETTING: Prospective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England)...
September 28, 2016: International Journal of Pharmacy Practice
M A Bakhtadze, D A Bolotov, K O Kuz'minov, M P Padun, O B Zakharova
AIM: Linguistic adaptation of the Russian version of the Short-form McGill Pain Questionnaire-2 (SF-MPQ-2), which is conceptually equivalent to the original questionnaire. MATERIAL AND METHODS: The adaptation of the Russian version of SF-MPQ-2 was performed in accordance to established rules in several stages by two independent translators with the development of a consensus Russian version and its back translation by two independent translators and development of a consensus English version...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Maria Cecília de Souza Minayo, Adalgisa Peixoto Ribeiro
We present the results of a quantitative and qualitative study on the living conditions and health of prisoners in the state of Rio de Janeiro. The goal was to produce strategic information to support the action of public officials who work in prisons. The results show that prisoners are young (average age: 30 years), poor, mostly black and brown (70.5%), have little education (only 1.5% of them have a higher education), and have been in prison for less than four years. Among the problems that indirectly affect their health, we emphasize: overcrowding (1...
June 2016: Ciência & Saúde Coletiva
Simon A Harris, Y Raja Rampersaud
BACKGROUND CONTEXT: Care for low back pain (LBP) is costly, fragmented and, in non-compensation populations, rarely specifically addresses factors associated with maintaining employment status or return to work (RTW). PURPOSE: This study aimed to identify modifiable independent risk factors for (1) a negative work status at presentation and (2) a change in work status during treatment in a cohort of LBP patients. The results are intended to inform improvement in best-evidence care pathways to maximize societal outcomes and overall value of a new model of care...
January 1, 2016: Spine Journal: Official Journal of the North American Spine Society
Craig J Bryan, Andrea L Wolfe, Chad E Morrow, James A Stephenson, Jeremy Haskell, AnnaBelle O Bryan
BACKGROUND: Caffeine, tobacco, and alcohol are the most widely used substances globally, but the majority of research on the associations among legal substance use and physical health has focused on the general population, not elite military personnel. The purpose of the current study was to describe patterns of tobacco, alcohol, and caffeine use and to examine the relationship of legal substance use with self-reported physical health complaints among US Air Force Pararescuemen (PJs) and Combat Rescue Officers (CROs)...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
Mehmet Cavlak, Alper Özkök, Serhat Sarı, Ahmet Dursun, Taner Akar, Mustafa Karapirli, Birol Demirel
Cupping is a traditional treatment method that has been used for thousands of years to diminish pain, restore appetite and improve digestion, remove tendency to faint or remove 'bad blood' from the body. The suction of the cup is created by fire or mechanical devices. This procedure may result in circular erythema, petechiae, purpura, ecchymosis, burns and may be mistaken for trauma-related ecchymosis or livor mortis. Forty-year-old male was died by shotgun injuries in the same day of the wounding. Circular ecchymoses were observed on the forehead, within the scalp of occipital region, the back of the neck, and on the back...
October 2015: Journal of Forensic and Legal Medicine
Eric P Baron
BACKGROUND: The use of cannabis, or marijuana, for medicinal purposes is deeply rooted though history, dating back to ancient times. It once held a prominent position in the history of medicine, recommended by many eminent physicians for numerous diseases, particularly headache and migraine. Through the decades, this plant has taken a fascinating journey from a legal and frequently prescribed status to illegal, driven by political and social factors rather than by science. However, with an abundance of growing support for its multitude of medicinal uses, the misguided stigma of cannabis is fading, and there has been a dramatic push for legalizing medicinal cannabis and research...
June 2015: Headache
Joshua T Anderson, Arnold R Haas, Rick Percy, Stephen T Woods, Uri M Ahn, Nicholas U Ahn
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Determine how psychosocial factors, particularly depression, impact lumbar fusion outcomes in a workers' compensation (WC) setting. SUMMARY OF BACKGROUND DATA: WC patients are less likely to return to work (RTW) after fusion. Few studies evaluate risk factors within this clinically distinct population. METHODS: A total of 2799 Ohio WC subjects were identified who underwent lumbar fusion between 1993 and 2013 using Current Procedural Terminology (CPT) procedural and International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes...
May 15, 2015: Spine
Susanne Andermo, Tobias Sundberg, Christina Forsberg, Torkel Falkenberg
BACKGROUND: Integrative health care (IHC) combines therapies and providers from complementary and conventional health care. Previous studies on IHC have shown power relations between providers but few studies have explored how the interaction develops over time. The objective of this study was to explore the development of IHC collaboration and interaction among participating providers during a series of consensus case conferences for managing patients with back and neck pain. METHODS: This qualitative study was conducted within a pragmatic randomized controlled clinical trial in primary care...
2015: PloS One
Jean-Baptiste Fassier, Marie-José Durand, Jean-François Caillard, Yves Roquelaure, Patrick Loisel
OBJECTIVES: Return-to-work interventions associated with the workplace environment are often more effective than conventional care. The Sherbrooke model is an integrated intervention that has proved successful in preventing work disability due to low-back pain. Implementation, however, runs up against many obstacles, and failure has been reported in many countries. The present study sought to identify barriers to and facilitators of the implementation of the Sherbrooke model within the French health system...
May 1, 2015: Scandinavian Journal of Work, Environment & Health
Joshua T Anderson, Arnold R Haas, Rick Percy, Stephen T Woods, Uri M Ahn, Nicholas U Ahn
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Compare lumbar fusion outcomes, return-to-work (RTW) status in particular, between workers' compensation (WC) subjects undergoing single-level posterolateral fusion for either spondylolisthesis or degenerative disc disease (DDD). SUMMARY OF BACKGROUND DATA: Lumbar fusion for spondylolisthesis tends to yield more consistent outcomes than fusion for DDD and discogenic low back pain. Within the clinically distinct WC population, relatively few studies exist that evaluate lumbar fusion outcomes...
March 1, 2015: Spine
Arunima Rajbhandary, Urooj Fatima, Paras Dedhia, Tasneem Kapadia, Sheela Prabhu
SESSION TITLE: Quality & Clinical Improvement Posters IISESSION TYPE: Original Investigation PosterPRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PMPURPOSE: Know attitude among physicians about most appropriate choice of management in common clinical scenarios and changes after expert guidelines. METHODS: Anonymous survey of 14 MCQs based on routine scenarios were sent to IM, FM residents, hospitalists and PCPs online in 3 stages: Pre intervention survey Educational intervention (concise guideline based on choosing wisely campaign/education in annual Guthrie symposium about cost effective care) Post intervention survey: (measure any change after educational intervention) It was approved by Institutional Review Board...
October 1, 2014: Chest
Soner Sahin, Cem Atabey, Mehmet Simşek, Sait Naderi
BACKGROUND: Textile products commonly used in surgery (e.g., sponges or gauze) have been known to cause complications after spinal surgery. Associated complications usually arise months or even years after the primary surgery. In case of spine surgery, these bodies are often detected during neuroradiological evaluations to investigate reported back pain; however, this complication often remains asymptomatic. AIMS: The research is intended to increase awareness among both spinal surgeons and neuroradiologists of this potential complication...
December 2013: Balkan Medical Journal
Daniel Callan, Lloyd Mills, Connie Nott, Robert England, Shaun England
Chronic pain is one of the most prevalent health problems in the world today, yet neurological markers, critical to diagnosis of chronic pain, are still largely unknown. The ability to objectively identify individuals with chronic pain using functional magnetic resonance imaging (fMRI) data is important for the advancement of diagnosis, treatment, and theoretical knowledge of brain processes associated with chronic pain. The purpose of our research is to investigate specific neurological markers that could be used to diagnose individuals experiencing chronic pain by using multivariate pattern analysis with fMRI data...
2014: PloS One
Hussein Warda
Ureteral injuries are one of the major complications following gynecologic surgeries. They are serious, troublesome, often associated with significant morbidity, and are one of the most common causes for legal action against gynecologic surgeons. The reported rates of injury depend on the vigilance of diagnosis, type of surgery and other risk factors. We present a case of a 48 year old obese Caucasian female with no significant past medical history who came in with back pain and progressive abdominal swelling for the past three months and was found to have a very large pelvic mass...
2013: Central European Journal of Urology
Frederic Savall, Fabrice Dedouit, Norbert Telmon, Daniel Rougé
Candida albicans spondylodiscitis is a fungal infection of the spine which is still unusual in spite of the increasing frequency of predisposing factors. A 22-year-old man received an abdominal stab wound during a physical assault. Initial medical care included surgery, prolonged use of indwelling vascular catheters with administration of broad-spectrum antibiotics, and hospitalization in intensive care. Two months after the event, the victim experienced back pain in the right lumbar region and septic spondylodiscitis secondary to C...
March 2014: Journal of Forensic and Legal Medicine
R E Johns
Individuals who develop a work or non-work-related medical condition in the course of employment generally recover and return to full-duty status. There are, however, a small number who develop chronic diseases, delayed recovery syndromes or other similar disabling conditions. These difficult situations raise the question of whether the individual continues to be a qualified employee for the job he/she was hired to perform. Workers who develop stationary medical conditions with residual impairment, functional limitations, chronic pain syndromes or permanent medical restrictions represent significant medical, legal and ethical challenges for the treating or evaluating physician as well as the employer...
January 1, 1996: Journal of Back and Musculoskeletal Rehabilitation
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