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https://www.readbyqxmd.com/read/28727642/injuries-among-recreational-football-players-results-of-a-prospective-cohort-study
#1
Gürhan Dönmez, Feza Korkusuz, Levent Özçakar, Yiğitcan Karanfil, Erhan Dursun, Savaş Kudaş, Mahmut Nedim Doral
OBJECTIVES: To establish the incidence and patterns of football injuries and associated consequences in daily life and labor loss, among public employees. DESIGN: Prospective cohort study. SETTING: Football tournament between public employees in Turkey. PARTICIPANTS: A total of 1821 recreational players from 78 teams. MAIN OUTCOME MEASURES: Injury rates (injuries per 1000 hours of football exposure) during tournament by age group, as well as prevalence, severity, and injury types were recorded...
July 14, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28727623/return-on-investment-evaluating-the-evidence-regarding-financial-outcomes-of-workplace-wellness-programs
#2
Julie A Astrella
Workplace wellness programs are expected to reduce employee healthcare costs, increase productivity, and provide a positive return on investment. A review of the literature from 2000 to 2016 was conducted to determine whether workplace wellness programs deliver a positive economic impact. Individual financial metrics and results varied; 6 of 7 studies reported a positive economic impact. Additional study is recommended because of the high-degree variability and lack of longitudinal data.
July 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28724142/the-aging-physician-and-the-medical-profession-a-review
#3
E Patchen Dellinger, Carlos A Pellegrini, Thomas H Gallagher
Importance: The issue of the aging physician and when to cease practice has been controversial for many years. There are reports of prominent physicians who practiced after becoming dangerous in old age, but the profession has not demonstrated the ability to prevent this. A mandatory retirement age could be discriminatory and take many competent physicians out of practice and risk a physician shortage. An increasing body of evidence regarding the relationship between physicians' age and performance has led organizations, such as the American College of Surgeons, to revisit this challenge...
July 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28714836/the-importance-of-the-evaluation-of-expectations-and-perceptions-to-improve-the-dental-service-quality
#4
Juliana Rocha, Andres Pinto, Marilia Batista, Janice Simpson de Paula, Glaucia Ambrosano
Purpose The purpose of this paper is to evaluate the use of SERVQUAL to assess service quality in Dentistry, by evaluating patients' expectations and perceptions of dental care and their association to patients' sociodemographic data. Design/methodology/approach The sample constituted of 379 subjects in the first assessment and 155 in the second phase. All employees of the companies that were clients of the dental insurance participated, a total of four companies in two states (São Paulo and Minas Gerais) of Brazil...
July 10, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28713504/strategic-thinking-and-its-related-factors-in-a-medical-science-university-in-iran
#5
Sedigheh Salavati, Effat Jahanbani Veshareh, Hossein Safari, Amir Veysian, Ghanbar Amirnezhad
BACKGROUND: Having strategic thinking is necessary in order to anticipate future changes and make strategic decisions. This study was carried out to assess the strategic thinking level in managers and personnel of Ahvaz Jundishapour University of Medical Science (AJUMS) - a public university in Iran. METHODS: It was a cross-sectional and analytical study and all managers (50) as well as a sample of personnel (200) from AJUMS participated in it. A researcher-made questionnaire was used in order to measure four dimensions of strategic thinking, including system thinking, futurism, conceptual thinking, and intelligent opportunism along with demographic and organizational characteristics of respondents...
May 2017: Electronic Physician
https://www.readbyqxmd.com/read/28713300/new-technologies-smart-or-harm-work-family-boundaries-management-gender-differences-in-conflict-and-enrichment-using-the-jd-r-theory
#6
Chiara Ghislieri, Federica Emanuel, Monica Molino, Claudio G Cortese, Lara Colombo
Background: The relationship between technology-assisted supplemental work and well-being outcomes is a recent issue in scientific literature. Whether the use of technology for work purpose in off-work time may have a positive or negative impact on work-family balance remains an open question and the role of gender in this relationship is poorly understood. Aim: According to the JD-R theory, this study aimed to investigate the relationship between off-work hours technology assisted job demand (off-TAJD) and both work-family conflict (WFC) and work-family enrichment (WFE)...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28702456/growing-pains-at-hospitals-opportunities-and-issues-of-service-expansion-in-maximum-care
#7
Juergen Hinkelmann, Joachim Paul Hasebrook, Thomas Volkert, Klaus Hahnenkamp
PURPOSE: Due to the demographic change morbidity raises the demand for medical hospital services as well as a need for medical specialization, while economic and human resources are diminishing. Unlike other industries hospitals do not have sufficient data and adequate models to relate growing demands and increasing performance to growth in staff capacity and to increase in staff competences. METHOD: Based on huge medical data sample covering the years from 2010 to 2014 with more than 150,000 operations of the Department for Anesthesiology at the University Hospital Muenster, Germany, comparisons are drawn between the development of medical services and the development of personnel capacity and expertise...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/28699383/flawed-communications-health-professionals-experience-of-collaboration-in-the-care-of-frail-elderly-patients
#8
Anders Hansson, Ann Svensson, Britt Hedman Ahlström, Lena G Larsson, Berit Forsman, Pia Alsén
AIMS: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals' experience of obstacles and opportunities for collaboration. METHODS: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative...
July 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28698925/prolonged-perceived-stress-and-saliva-cortisol-in-a-large-cohort-of-danish-public-service-employees-cross-sectional-and-longitudinal-associations
#9
Sigurd Mikkelsen, Julie Lyng Forman, Samuel Fink, Marianne Agergaard Vammen, Jane Frølund Thomsen, Matias Brødsgaard Grynderup, Åse Marie Hansen, Linda Kaerlev, Henrik Albert Kolstad, Reiner Rugulies, Jens Peter Bonde
PURPOSE: It is well known that acute stress can lead to a transient increase in cortisol secretion, but the effects of prolonged stress on cortisol secretion are uncertain. This study examines the cross-sectional and longitudinal associations between prolonged perceived stress and salivary cortisol. METHODS: In 2007, 4467 Danish public service employees participated in a study of stress and mental health, and 3217 participated in a follow-up in 2009. Perceived stress during the past 4 weeks was assessed by Cohen's four item perceived stress scale...
July 11, 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/28691508/substantial-improvement-of-primary-cardiovascular-prevention-by-a-systematic-score-based-multimodal-approach-a-randomized-trial-the-preford-study
#10
Detlef Bernd Gysan, Stefanie Millentrup, Christian Albus, Birna Bjarnason-Wehrens, Joachim Latsch, Helmut Gohlke, Gerd Herold, Karl Wegscheider, Christian Heming, Melchior Seyfarth, Hans-Georg Predel
Trial design Prospective randomized multicentre interventional study. Methods Individual cardiovascular risk assessment in Ford Company, Germany employees ( n = 4.196), using the European Society of Cardiology-Systematic Coronary Risk Evaluation (ESC-SCORE) for classification into three risk groups. Subjects assigned to ESC high-risk group (ESC-SCORE ≥ 5%), without a history of cardiovascular disease were eligible for randomization to a multimodal 15-week intervention programme (INT) or to usual care and followed up for 36 months...
January 1, 2017: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/28689471/the-scope-pc-instrument-for-assessing-patient-safety-culture-in-primary-care-a-psychometric-evaluation
#11
Melissa Desmedt, Jochen Bergs, Benjamin Willaert, Annemie Vlayen, Johan Hellings, Ward Schrooten, Neree Claes, Dominique Vandijck
INTRODUCTION: Primary healthcare differs from hospitals in terms of - inter alia - organisational structure. Therefore, patient safety culture could differ between these settings. Various instruments have been developed to measure collective attitudes of personnel within a primary healthcare organisation. However, the number of valid and reliable instruments is limited. OBJECTIVES: Psychometric properties of the SCOPE-Primary Care instrument were tested to examine the instrument's applicability in home care services in Belgium...
July 9, 2017: Acta Clinica Belgica
https://www.readbyqxmd.com/read/28689214/confirmatory-factor-analysis-of-the-finnish-job-content-questionnaire-jcq-in-590-professional-musicians
#12
Heidi Vastamäki, Martti Vastamäki, Katri Laimi, Michail Saltychev
BACKGROUND: Poorly functioning work environments may lead to dissatisfaction for the employees and financial loss for the employers. The Job Content Questionnaire (JCQ) was designed to measure social and psychological characteristics of work environments. OBJECTIVE: To investigate the factor construct of the Finnish 14-item version of JCQ when applied to professional orchestra musicians. METHODS: In a cross-sectional survey, the questionnaire was sent by mail to 1550 orchestra musicians and students...
July 2017: International Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28682712/-this-is-how-we-work-here-informal-logic-and-social-order-in-primary-health-care-services-in-mexico-city
#13
Nayelhi Itandehui Saavedra, Shoshana Berenzon, Jorge Galván
People who work in health care facilities participate in a shared set of tacit agreements, attitudes, habits, and behaviors that contribute to the functioning of those institutions, but that can also cause conflict. This phenomenon has been addressed tangentially in the study of bureaucratic practices in governmental agencies, but it has not been carefully explored in the specific context of public health care centers. To this end, we analyzed a series of encounters among staff and patients, as well as the situations surrounding the services offered, in public primary care health centers in Mexico City, based on Erving Goffman's concepts of social order, encounter, and situation, and on the concepts of formal and informal logic...
July 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28681396/association-of-atopy-and-tentative-diagnosis-of-skin-cancer-results-from-occupational-skin-cancer-screenings
#14
I Schäfer, P Mohr, N Zander, R Fölster-Holst, M Augustin
BACKGROUND: The relationship between atopic conditions and carcinoma of the skin has been described inconsistently. Population-based data providing information on atopic diseases as well as on skin-cancer are sparse. OBJECTIVE: To determine the correlation between atopy and prevalence of precanceroses, nonmelanoma skin-cancer and malignant melanoma (MM), while taking into account known risk factors for skin cancer. METHODS: Data from occupational skin cancer screenings were analysed in a cross-sectional study...
July 6, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/28680866/the-effect-of-start-triage-education-on-knowledge-and-practice-of-emergency-medical-technicians-in-disasters
#15
Mahboub Pouraghaei, Jaafar Sadegh Tabrizi, Payman Moharamzadeh, Rozbeh Rajaei Ghafori, Farzad Rahmani, Baharak Najafi Mirfakhraei
Introduction: Pre-hospital triage is one of the most fundamental concepts in emergency management. Limited human resource changes triage to an inevitable solution in the management of disasters. The aim of this study was to evaluate the role of education of simple triage and rapid treatment (START) in the knowledge and practice of Emergency Medical Service (EMS) employees of Eastern Azerbaijan. Methods: This is a pre-and post-intervention study conducted on two hundred and five (205) of employees of EMS sector, in the disaster and emergency management center of Eastern Azerbaijan Province, 2015...
June 2017: Journal of Caring Sciences
https://www.readbyqxmd.com/read/28675922/how-to-control-for-unmeasured-confounding-in-an-observational-time-to-event-study-with-exposure-incidence-information-the-treatment-choice-cox-model
#16
James Troendle, Eric Leifer, Zhiwei Zhang, Song Yang, Heather Tewes
In an observational study of the effect of a treatment on a time-to-event outcome, a major problem is accounting for confounding because of unknown or unmeasured factors. We propose including covariates in a Cox model that can partially account for an unknown time-independent frailty that is related to starting or stopping treatment as well as the outcome of interest. These covariates capture the times at which treatment is started or stopped and so are called treatment choice (TC) covariates. Three such models are developed: first, an interval TC model that assumes a very general form for the respective hazard functions of starting treatment, stopping treatment, and the outcome of interest and second, a parametric TC model that assumes that the log hazard functions for starting treatment, stopping treatment, and the outcome event include frailty as an additive term...
July 4, 2017: Statistics in Medicine
https://www.readbyqxmd.com/read/28673125/reasons-for-using-workplace-wellness-services-cross-sectional-study-among-6000-employees
#17
Roger Persson, Bryan Cleal, Mette Øllgaard Jakobsen, Ebbe Villadsen, Lars Louis Andersen
AIMS: While workplace wellness services are proactively established to improve well-being and reduce sickness absence, knowledge of reasons for using these services remains sparse. This study investigates which factors determine use of an in-house wellness service at a large organization (the Danish Police) with several departments in different geographical locations. METHODS: All potential users of the Wellness service ( n = 15,284) were invited to respond to a cross-sectional questionnaire...
July 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28666295/-occupational-health-physicians-and-rehabilitation-a-cross-sectional-study-on-occupational-health-care-in-schleswig-holstein-and-baden-w%C3%A3-rttemberg
#18
Elke Peters, Betje Schwarz, Detlef Glomm, Christine Kallenberg, Susanne Voelter-Mahlknecht, Monika Rieger, Matthias Bethge
Objective Description and explanation of involvement of occupational health physicians in rehabilitation Methods Data were collected by a survey of occupational health physicians in Schleswig-Holstein and Baden-Württemberg. Logistic regression models were calculated to identify determinants of the involvement of occupational health physicians before, during and after rehabilitation. Results During the last year 70% of the occupational health physicians have supported at least one worker when applying for medical rehabilitation...
June 30, 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/28661780/working-hours-mismatch-macroeconomic-changes-and-mental-well-being-in-europe
#19
Deborah De Moortel, Olivier Thévenon, Hans De Witte, Christophe Vanroelen
This study explores the association between involuntarily working less or more than the standard workweek and poor mental well-being, and whether this relationship is dependent upon (changing) national-level unemployment and gross domestic product growth rates. Data from the European Social Survey Round 2 (2004-2005) and Round 5 (2010) were analyzed. The sample included 16,224 male and 16,184 female employees. Mental well-being was assessed by the World Health Organization Well-being Index. Three-level linear multilevel modeling was used to account for clustering of employees within research years and countries...
June 2017: Journal of Health and Social Behavior
https://www.readbyqxmd.com/read/28660364/how-can-supervisors-contribute-to-the-return-to-work-of-employees-who-have-experienced-depression
#20
Alessia Negrini, Marc Corbière, Tania Lecomte, Marie-France Coutu, Karen Nieuwenhuijsen, Louise St-Arnaud, Marie-José Durand, Andrea Gragnano, Djamal Berbiche
Background In Western countries, work disability due to depression is a widespread problem that generates enormous costs. Objective The goal of this study was to determine the types and prevalence of supervisor contributions during the different phases of the return-to-work (RTW) process (before and during the sick-leave absence, and during the RTW preparations) of employees diagnosed with depression. Moreover, we sought to determine which contributions actually facilitate employees' RTW, and to identify the work accommodations most frequently implemented by supervisors at the actual time of their employee's RTW...
June 29, 2017: Journal of Occupational Rehabilitation
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