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return to work evaluation

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https://www.readbyqxmd.com/read/28527493/impact-of-total-laryngectomy-on-return-to-work
#1
Jose Miguel Costa, Montserrat López, Jacinto García, Xavier León, Miquel Quer
INTRODUCTION: Total laryngectomy is one of the most mutilating oncological operations. There are no specific studies evaluating return to work after this surgery. PATIENTS AND METHODS: A cross-sectional study was performed on a sample of 116 laryngectomized patients who were disease- free and had a minimum follow-up of 2 years from total laryngectomy. A survey was conducted to find out their employment situation before and after surgery. At the time of surgery, 62 (53%) were working, 40 (35%) were retired and 14 (12%) were in a disability situation...
May 17, 2017: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/28526663/effects-of-using-child-personas-in-the-development-of-a-digital-peer-support-service-for-childhood-cancer-survivors
#2
Pontus Wärnestål, Petra Svedberg, Susanne Lindberg, Jens M Nygren
BACKGROUND: Peer support services have the potential to support children who survive cancer by handling the physical, mental, and social challenges associated with survival and return to everyday life. Involving the children themselves in the design process allows for adapting services to authentic user behaviors and goals. As there are several challenges that put critical requirements on a user-centered design process, we developed a design method based on personas adapted to the particular needs of children that promotes health and handles a sensitive design context...
May 18, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28521803/physical-interface-dynamics-alter-how-robotic-exosuits-augment-human-movement-implications-for-optimizing-wearable-assistive-devices
#3
Matthew B Yandell, Brendan T Quinlivan, Dmitry Popov, Conor Walsh, Karl E Zelik
BACKGROUND: Wearable assistive devices have demonstrated the potential to improve mobility outcomes for individuals with disabilities, and to augment healthy human performance; however, these benefits depend on how effectively power is transmitted from the device to the human user. Quantifying and understanding this power transmission is challenging due to complex human-device interface dynamics that occur as biological tissues and physical interface materials deform and displace under load, absorbing and returning power...
May 18, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28514873/unpacking-community-mobility-a-preliminary-study-into-the-embodied-experiences-of-stroke-survivors
#4
Christa S Nanninga, Louise Meijering, Klaas Postema, Marleen C Schönherr, Ant T Lettinga
PURPOSE: To enrich the discussion on mobility in stroke rehabilitation by translating theoretical repertoires of mobility from the context of geography to rehabilitation. METHOD: Qualitative research methodology was applied, and included in-depth interviews with stroke survivors. RESULTS: This study revealed: (a) social and material differences in clinical, private and public places; (b) ambivalences and shifting tensions in bodily, family and community life; (c) differences in access to resources to be used for mobility...
May 17, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28499856/measuring-soldier-performance-during-the-patrol-exertion-multitask-preliminary-validation-of-a-post-concussive-functional-return-to-duty-metric
#5
Matthew Scherer, Margaret M Weightman, Mary Vining Radomski, Laurel Smith, Marsha Finkelstein, Amy Cecchini, Kristin Jensen Heaton, Karen McCulloch
OBJECTIVE: To assess the discriminant validity of the Patrol-Exertion Multitask (PEMT), a novel, multi-domain, functional return-to-duty clinical assessment for Active Duty military personnel. DESIGN: Measurement development study SETTING: Non-clinical indoor testing facility, Fort Bragg NC PARTICIPANTS: 51 healthy control (HC) Service Members and 33 military personnel with persistent post-concussive symptoms receiving rehabilitation (mTBI) INTERVENTION: Not applicable MAIN OUTCOME MEASURES: Known-groups discriminant validity was evaluated by comparing performance on the PEMT in two groups of Active Duty SM, HC and personnel with mTBI residual symptoms...
May 9, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28498179/improving-retention-in-care-among-pregnant-women-and-mothers-living-with-hiv-lessons-from-inspire-and-implications-for-future-who-guidance-and-monitoring
#6
Nigel C Rollins, Shaffiq M Essajee, Nita Bellare, Meg Doherty, Gottfried O Hirnschall
Identifying women living with HIV, initiating them on lifelong antiretroviral treatment (ART), and retaining them in care are among the important challenges facing this generation of health care managers and public health researchers. Implementation research attempts to solve a wide range of implementation problems by trying to understand and work within real-world conditions to find solutions that have a measureable impact on the outcomes of interest. Implementation research is distinct from clinical research in many ways yet demands similar standards of conceptual thinking and discipline to generate robust evidence that can be, to some extent, generalized to inform policy and service delivery...
June 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28498069/an-analysis-from-the-quality-outcomes-database-part-2-predictive-model-for-return-to-work-after-elective-surgery-for-lumbar-degenerative-disease
#7
Anthony L Asher, Clinton J Devin, Kristin R Archer, Silky Chotai, Scott L Parker, Mohamad Bydon, Hui Nian, Frank E Harrell, Theodore Speroff, Robert S Dittus, Sharon E Philips, Christopher I Shaffrey, Kevin T Foley, Matthew J McGirt
OBJECTIVE Current costs associated with spine care are unsustainable. Productivity loss and time away from work for patients who were once gainfully employed contributes greatly to the financial burden experienced by individuals and, more broadly, society. Therefore, it is vital to identify the factors associated with return to work (RTW) after lumbar spine surgery. In this analysis, the authors used data from a national prospective outcomes registry to create a predictive model of patients' ability to RTW after undergoing lumbar spine surgery for degenerative spine disease...
May 12, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28497774/evaluation-of-respiratory-and-postural-induced-changes-on-the-ballistocardiogram-signal-by-time-warping-averaging
#8
Alba Martin-Yebra, Federica Landreani, Claudia Casellato, Esteban Enrique Pavan, Pierre-François Migeotte, Carlo Frigo, Juan Martinez Cortes, Enrico Caiani
OBJECTIVE: The aim of this work was to evaluate the potential changes in the ballistocardiogram (BCG) signal induced by different respiratory patterns and posture, by using the dynamic time warping (DTW) technique. APPROACH: BCG signals were recorded in a group of 20 healthy volunteers, simultaneously to the ECG. Two recordings, one in supine (SUP) and one in standing (ST) position, including spontaneous breathing, two 1-minute apneas (at full and empty-lungs, respectively) and 30s of Valsalva, were analyzed...
May 12, 2017: Physiological Measurement
https://www.readbyqxmd.com/read/28488263/effectiveness-of-the-bern-ambulatory-interprofessional-rehabilitation-bai-reha-programme-for-patients-with-chronic-musculoskeletal-pain-a-cohort-study
#9
Brigitte Elisabeth Gantschnig, Franziska Heigl, Colette Widmer Leu, Lukas Bütikofer, Stephan Reichenbach, Peter Matthias Villiger
QUESTIONS UNDER STUDY: Chronic pain has a high impact on individuals and society. (Cost-)effective interventions are desperately needed. We evaluated short- and long-term effects of the Bern Ambulatory Interprofessional Rehabilitation (BAI-Reha) for patients with chronic musculoskeletal pain. METHODS: We analysed data prospectively collected from patients with chronic musculoskeletal pain before and after BAI-Reha (at 12 weeks, 1 year and 2 years) using linear mixed-models and logistic generalised estimating equations...
May 10, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28481893/evaluation-of-a-transdiagnostic-psychodynamic-online-intervention-to-support-return-to-work-a-randomized-controlled-trial
#10
Rüdiger Zwerenz, Jan Becker, Katharina Gerzymisch, Martin Siepmann, Martin Holme, Ulrich Kiwus, Sieglinde Spörl-Dönch, Manfred E Beutel
OBJECTIVES: Given their flexibility, online interventions may be useful as an outpatient treatment option to support vocational reintegration after inpatient rehabilitation. To that purpose we devised a transdiagnostic psychodynamic online intervention to facilitate return to work, focusing on interpersonal conflicts at the workplace often responsible for work-related stress. RESEARCH DESIGN AND METHODS: In a randomized controlled trial, we included employed patients from cardiologic, psychosomatic and orthopedic rehabilitation with work-related stress or need for support at intake to inpatient rehabilitation after they had given written consent to take part in the study...
2017: PloS One
https://www.readbyqxmd.com/read/28480508/cultivation-of-solanum-tuberosum-in-a-former-mining-district-for-a-safe-human-consumption-integrating-simulated-digestion
#11
M J Sierra, R López-Nicolás, C A González-Bermúdez, C Frontela-Saseta, R Millán
BACKGROUND: Potato (Solanum tuberosum) is a global crop and by far the most important non-cereal crop in the world. Therefore, it is necessary to assure its safe consumption. This is especially relevant in the case of its cultivation in abandoned mining areas, where the population tends to return to agriculture. In the present work, the objective is to evaluate the contribution to the diet of nutrients and contaminants of potato grown in soils from the Almadén area (mining district) by studying the intestinal absorption (in vitro) of the tuber taking into account the preparation methods for its consumption...
May 8, 2017: Journal of the Science of Food and Agriculture
https://www.readbyqxmd.com/read/28479791/minimally-invasive-versus-open-spine-surgery-what-does-the-best-evidence-tell-us
#12
Shearwood McClelland, Jeffrey A Goldstein
BACKGROUND: Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Easily marketable to patients as less invasive with smaller incisions, MIS is often perceived as superior to traditional open spine surgery. The highest quality evidence comparing MIS with open spine surgery was examined. METHODS: A systematic review of randomized controlled trials (RCTs) involving MIS versus open spine surgery was performed using the Entrez gateway of the PubMed database for articles published in English up to December 28, 2015...
April 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28476561/mathematical-descriptions-of-indeterminate-growth
#13
Christopher D Powell, Secundino López, André Dumas, Dominique P Bureau, Sarah E Hook, James France
Two models were derived in an effort to better describe the indeterminate nature of growth exhibited by ectotherms. The models are characterized by their non-sigmoidal shape and are based on three assumptions: quantity of growth machinery works at a rate dependent on feed intake; the relationship between growth rate and intake level follows the law of diminishing returns; and growth is irreversible. The Michaelis-Menten and Mitscherlich equations are used in their formulation. To investigate their potential, the models were fitted to six datasets, representing repeated measures of live body weights of two species: rainbow trout (Oncorhynchus mykiss) and Nile tilapia (Oreochromis niloticus)...
May 3, 2017: Journal of Theoretical Biology
https://www.readbyqxmd.com/read/28476068/-5-year-follow-up-of-the-member-multicenter-study-on-medical-occupational-rehabilitation
#14
S B Schmidt, M Boltzmann, M S Brunotte, M Sailer, J Kiesel, H Karbe, J Harms, C Busch, R Eckhardt, M Spranger, D Rixecker, M Siepmann, R Weber, H-J Hesselschwerdt, K Scheidtmann, M Köhler, C Müller, T Platz, U Specht, T Schmelter, H Hoff-Emden, D Urbach, J Lecheler, J D Rollnik
In Germany, medical-occupational rehabilitation represents an essential link between rehabilitation programs focusing either on medical or occupational rehabilitation. Its main objective is return to work. The current study presents the vocational integration 5 years after medical-occupational rehabilitation and determines possible prognostic factors for long-term occupational integration. To evaluate the effectiveness of medical-occupational rehabilitation, a 5-year-follow-up interview was conducted with participants (n=105) of the multicenter study on medical-occupational rehabilitation (MEmbeR)...
May 5, 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/28473522/patient-and-physiotherapist-perceptions-of-rehabilitation-following-primary-lumbar-discectomy-a-qualitative-focus-group-study-embedded-within-an-external-pilot-and-feasibility-trial
#15
Alison Rushton, Nicola R Heneghan, Alison Heap, Louise White, Melanie Calvert, Peter C Goodwin
OBJECTIVE: To evaluate patients' and physiotherapists' perceptions, preferences and feelings about rehabilitation following lumbar discectomy surgery. DESIGN: A qualitative focus group study, informed from the theoretical perspective of phenomenology, of patients' and physiotherapists' experiences of rehabilitation following lumbar discectomy was conducted. The focus groups were used to explore patients' and physiotherapists' perceptions and their preferences and feelings about different approaches to rehabilitation...
May 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28472846/-the-prognostic-validity-of-the-functional-capacity-evaluation-ela-in-work-related-medical-rehabilitation
#16
David Bühne, Torsten Alles, Christian Hetzel, Ingo Froböse
The aim of the study was to determine the ability of FCE (Functional Capacity Evaluation) to predict sustained return-to-work (RTW). A multicentric prospective cohort study was conducted in cooperation with 4 outpatient rehabilitation clinics. The sample consisted of 198 patients. Sustained RTW was defined as a combination of employment at 3-month follow-up with a low level of sick leave (dependent variable 1) resp. with a moderate or better rating of the current work ability with respect to the physical demands at work (dependent variable 2)...
May 4, 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/28470507/time-course-of-upper-limb-function-and-return-to-work-post-radiotherapy-in-young-adults-with-breast-cancer-a-pilot-randomized-control-trial-on-effects-of-targeted-exercise-program
#17
Marize Ibrahim, Thierry Muanza, Nadia Smirnow, Warren Sateren, Beatrice Fournier, Petr Kavan, Michael Palumbo, Richard Dalfen, Mary-Ann Dalzell
PURPOSE: Breast cancer (BC) diagnosis in young adults (YA) is rising, and both disease and treatments are aggressive in this population. Evidence supports the use of physical activity in reducing shoulder dysfunction, which is common among BC survivors. A pilot randomized clinical trial was performed to determine the effectiveness of a 12-week post-radiation exercise program in minimizing upper extremity dysfunction in YA with BC. METHODS: Participants were randomized to either an exercise arm or a control arm receiving standard care...
May 3, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28465194/physical-therapy-under-hypnosis-for-the-treatment-of-patients-with-type-1-complex-regional-pain-syndrome-of-the-hand-and-wrist-retrospective-study-of-20-cases
#18
J Lebon, M Rongières, C Apredoaei, S Delclaux, P Mansat
Type 1 complex regional painful syndrome (CRPS-1) has a complex physiopathology. The aim of this study was to evaluate the effectiveness of physical therapy under hypnotherapy to treat this condition. Twenty patients with CRPS-1 at the wrist and hand were evaluated retrospectively: 13 women and 7 men with an average age of 56 years (34-75). Thirteen patients were in the inflammatory phase and 7 in the dystrophic phase. The main endpoints were pain (VAS, analgesic use), stiffness (wrist and finger range of motion), and strength (pinch and grasp)...
March 1, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28465006/early-rehabilitation-after-open-repair-for-patients-with-a-rupture-of-the-achilles-tendon
#19
Uk Kim, Yun Seong Choi, Gyu Chol Jang, Young Rak Choi
PURPOSE: As outdoor activities participation increase, Achilles tendon rupture incidence also tends to increase. There are a number of treatment and rehabilitation options for a ruptured Achilles tendon. However, the optimal rehabilitation protocols are still under debate. The purpose of this study is to determine whether early rehabilitation is more effective than conventional rehabilitation. METHODS: Medical records of 56 patients who had been treated with open repair after a ruptured Achilles tendon were retrospectively reviewed...
April 25, 2017: Injury
https://www.readbyqxmd.com/read/28464582/-clinical-useness-of-multimodal-techniques-in-microsurgical-resection-of-cerebral-arteriovenous-malformation
#20
Y Y Zhang, J L Jiang, Z H Sun, C Wu, W Shi, Z Xue, S Y Feng, X G Yu
Objective: To explore the clinical useness of intraoperative functional neuronavigation and fluorescent indocyanine green(ICG) angiography as well as electrophysiological evaluation during microsurgical resection of cerebral arteriovenous malformations (AVM). Methods: A series of 42 consecutive cases with AVM underwent microsurgery by intraoperative functional neuronavigation at Department of Neurosurgery of People's Liberation Army General Hospital from January 2009 to February 2015 were retrospectively analyzed...
May 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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