472 results match your criteria Evaluation of the Injured Worker

Postural control during single leg stance in individuals with clinical indication for combined reconstruction of the anterior cruciate and the anterolateral ligaments of the knee: a cross-sectional study.

BMC Musculoskelet Disord 2022 Apr 25;23(1):383. Epub 2022 Apr 25.

Department of Physical Therapy, Speech and Occupational Therapy, Universidade de São Paulo, São Paulo, SP, Brazil.

Background: Several studies have shown persistent postural control deficits and rotatory instability in patients after isolated Anterior Cruciate Ligament (ACL) reconstruction. There is evidence to support that the Anterolateral Ligament (ALL) plays an important role in the remaining anterolateral rotatory laxity of the knee. There are no further evidences in order to understand how patients with a combined ACL + ALL reconstruction surgery indication behave regarding postural control. Read More

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What is the effect of independent medical evaluation on days on sickness benefits for long-term sick listed employees in Norway? A pragmatic randomised controlled trial, the NIME-trial.

BMC Public Health 2022 02 26;22(1):400. Epub 2022 Feb 26.

NORCE Norwegian Research Centre, Health and Social Sciences, Bergen, Norway.

Background: Independent medical evaluations are used to evaluate degree and reason for work disability, uncertainty around the functional status, and/or the employee's rehabilitation potential in several jurisdictions, but not in Norway. The main aim of this trial was to test the return to work effect of independent medical evaluation (IME) (summoning and consultation) compared to treatment as usual (TAU) in Norway, for workers who have been on continuous sick leave for 6 months.

Methods: This was a pragmatic randomised controlled trial including all employees aged 18-65 years, sick-listed by their general practitioner and on full or partial sick leave for the past 26 weeks in Hordaland County, Norway in 2015/16. Read More

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February 2022

A Register Analysis after Tibial Plateau Fracture in Statutory Accident Insurance.

Z Orthop Unfall 2022 Feb 23. Epub 2022 Feb 23.

Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.

Objective: To analyse the results after tibial plateau fractures with a focus on socioeconomic consequences.

Methods: On the basis of the data from the rehabilitation documentation of the German Statutory Accident Insurance (DGUV) on tibial plateau fractures (Code 83), a retrospective anonymised evaluation of the injuries which occurred in 2010 and 2016 was carried out. The registry data allowed subdivision into 3 groups: Medial, lateral and bicondylar tibial plateau fractures. Read More

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February 2022

A Service Evaluation of Prehospital Blood Transfusion by Critical Care Paramedics in British Columbia, Canada.

Air Med J 2021 Nov-Dec;40(6):441-445. Epub 2021 Aug 8.

Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Centre for Blood Research, University of British Columbia, Vancouver, British Columbia, Canada.

Early administration of blood products is emerging as best practice in selected trauma and medical patients. Blood products carried by critical care transport (CCT) teams are sometimes the first available to critically ill and injured patients. The purpose of this research was to evaluate the introduction of prehospital transfusion into a paramedic-led CCT program in Canada. Read More

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November 2021

Analgesia in pediatric trauma patients in physician-staffed Austrian helicopter rescue: a 12-year registry analysis.

Scand J Trauma Resusc Emerg Med 2021 Nov 18;29(1):161. Epub 2021 Nov 18.

Department of Anaesthesiology and Critical Care Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Background: As pediatric patients are typically rare among helicopter emergency medical systems (HEMS), children might be at risk for oligo-analgesia due to the rescuer's lack of experience and the fear of side effects.

Methods: In this retrospective analysis, data was obtained from the ÖAMTC HEMS digital database including 14 physician staffed helicopter bases in Austria over a 12-year timeframe. Primary missions involving pediatric trauma patients (< 15 years) not mechanically ventilated on-site were included. Read More

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November 2021

The impact of a hand therapy workplace-based educational approach on the management of lateral elbow tendinopathy: A randomized controlled study.

J Hand Ther 2021 Oct 29. Epub 2021 Oct 29.

Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.

Background: Lateral elbow tendinopathy (LET) is one of the most prevalent work-related musculoskeletal conditions. Management strategies for LET rarely consider patients' work environments and have limited focus on education regarding occupational risk factors. Workplace-based rehabilitation has shown benefits in the return to work processes for injured workers with other health conditions, but no studies have investigated the impact of a workplace-based educational approach in the management of LET. Read More

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October 2021

Ineffective Communication: The Uninformed Injured Worker.

J Bone Joint Surg Am 2021 10;103(19):1772-1776

St. Mark's Hospital, Millcreek, Utah.

Background: Effective communication has been demonstrated to impact patient health outcomes, specifically in improving symptom resolution, safety, function, and emotional well-being, and to lower malpractice claims. I hypothesized that the communication process with patients with Workers' Compensation is inadequate.

Methods: Prospectively, claimants presenting for an independent medical evaluation or an impairment rating were assessed concerning the education that they received with regard to their claim. Read More

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October 2021

Pilot of a Community Health Worker Video Intervention for Immigrant Day Laborers at Occupational Health Risk.

Front Public Health 2021 22;9:662439. Epub 2021 Jul 22.

RAND Corporation, Santa Monica, CA, United States.

Immigrant day laborers suffer from disproportionate occupational health risks from hazardous reconstruction jobs after natural disasters. We conducted a randomized controlled trial of a short-video educational intervention to improve safety knowledge and intent to engage in safety preventive behaviors among 98 Hispanic day laborers (49 randomized to video and 49 control). The short video featured a male and a female who narrated 3 stories of day laborers who were injured while doing construction work in post-Katrina New Orleans. Read More

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Best case/worst case for the trauma ICU: Development and pilot testing of a communication tool for older adults with traumatic injury.

J Trauma Acute Care Surg 2021 09;91(3):542-551

From the Department of Surgery (C.J.Z., A.B., N.D.B., J.L.T., N.M., E.K., M.L.S.), University of Wisconsin School of Medicine and Public Health; Department of Medicine (A.B.Z., T.C.C., V.L.), University of Wisconsin School of Medicine and Public Health, Madison Wisconsin; Department of Surgery (H.B.W., T.S.), University of Texas Southwestern, Dallas Texas; Department of Surgery (D.L., K.J.B.), Oregon Health and Science University, Portland Oregon; Department of Surgery (H.A.P.), Louisiana State University, Baton Rouge, Louisiana; and Department of Medical History and Bioethics (M.L.S.), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Background: "Best Case/Worst Case" (BC/WC) is a communication tool to support shared decision making in older adults with surgical illness. We aimed to adapt and test BC/WC for use with critically ill older adult trauma patients.

Methods: We conducted focus groups with 48 trauma clinicians in Wisconsin, Texas, and Oregon. Read More

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September 2021

Reference data for hop tests used in pediatric ACL injury rehabilitation: A cross-sectional study of healthy children.

Scand J Med Sci Sports 2021 Sep 22;31(9):1832-1839. Epub 2021 May 22.

Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, Faculty of Health, University College Copenhagen, Copenhagen, Denmark.

In rehabilitation, four single-leg hop tests are frequently used for evaluation of ACL-injured children. However, reference values on single-leg hop performance and the corresponding limb symmetry indexes (LSIs) of healthy children younger than 15 years of age are lacking. Thus, the purpose was to describe hop performance and LSIs in healthy Danish children, and to quantify the proportion of participants passing LSI values of ≥85% as well as ≥90%. Read More

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September 2021

Does ATLS Training Work? 10-Year Follow-Up of ATLS India Program.

J Am Coll Surg 2021 08 3;233(2):241-248. Epub 2021 May 3.

Sharda Hospital and School of Medical Sciences & Research, Greater Noida, Uttar Pradesh, India.

Background: Studies evaluating the efficacy of ATLS in low- and middle-income countries are limited. We followed up ATLS providers certified by the ATLS India program over a decade (2009 to 2019), aiming to measure the benefits in knowledge, skills, attitude and their attrition over time.

Methods: The survey instrument was developed taking a cue from published literature on ATLS and improvised using the Delphi method. Read More

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Symptom profiles following combat injury and long-term quality of life: a latent class analysis.

Qual Life Res 2021 Sep 22;30(9):2531-2540. Epub 2021 Apr 22.

Warfighter Performance Department, Naval Health Research Center, San Diego, CA, USA.

Purpose: The purpose of this study was to identify symptom profiles among U.S. military personnel within 1 year after combat injury and assess the relationship between the symptom profiles and long-term quality of life (QoL). Read More

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September 2021

Increasing the use of continuing professional development courses to strengthen trauma care in Ghana.

Ghana Med J 2020 Sep;54(3):197-200

Department of Surgery, University of Development Studies, School of Medicine and Health Sciences, Tamale-Techiman Road, Tamale.

Injury is a major cause of death and disability in Ghana. Strengthening care of the injured is essential to reduce this burden. Trauma continuing professional development (CPD) courses are an important component of strengthening trauma care. Read More

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September 2020

Evaluation of a novel emergency front of neck access device in a benchtop model of obesity.

Ir J Med Sci 2022 Feb 3;191(1):413-420. Epub 2021 Mar 3.

The Rotunda Hospital, Dublin, Ireland.

Background: Emergency front of neck access (eFONA) is a critical step in oxygenation in cases of unrelieved airway obstruction. Multiple techniques are used in clinical practice without agreement regarding the optimal approach. We evaluated a novel device, the Cric-Guide (CG), a channelled bougie introducer that enters the airway in a single action and compared it with a scalpel-bougie-tube (SBT) technique in laboratory benchtop model. Read More

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February 2022

Algorithm Directed Troop Medical Care Manual Application for Desktop and Smartphone.

Mil Med 2021 01;186(Suppl 1):65-69

Department of Soldier Readiness, Army-Baylor Master Health Administration/Master Business Administration Tripler Army Hospital, Honolulu, HI 96859, USA.

Introduction: The U.S. Army medics are often the first responders in the care of sick and injured soldiers on the battlefield, sick call in a Role 2 aid station and garrison clinics. Read More

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January 2021

Evaluation of first information reports of Delhi police for injury surveillance: Data extraction tool development & validation.

Indian J Med Res 2020 Oct;152(4):410-416

Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England.

Background & Objectives: : Policymakers and health professionals need to know the distribution, patterns, trends and risk factors of injury occurrence to develop strategies that reduce the incidence of injuries. The first information report (FIR) of Indian police is one potential source of this information. The aims of this study were to identify the minimum data set (MDS) recommended for injury surveillance, to develop a tool for data extraction from FIRs, to evaluate whether FIRs contain this MDS and to assess the inter-rater reliability of the tool. Read More

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October 2020

A cross-sectional evaluation of knowledge among Chinese dentists regarding the treatment of traumatic injuries in primary teeth.

Dent Traumatol 2021 Apr 5;37(2):188-195. Epub 2020 Dec 5.

Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.

Background/aim: Injuries to the primary dentition affect children's esthetics, function, and mental health. They may also affect the development of the permanent teeth. The knowledge of dentists about deciduous tooth trauma is rarely evaluated. Read More

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Gait Retraining Improves Running Impact Loading and Function in Previously Injured U.S. Military Cadets: A Pilot Study.

Mil Med 2021 11;186(11-12):e1077-e1087

Department of Physical Therapy, One University Parkway, High Point University, High Point, NC 27268, USA.

Introduction: Running-related musculoskeletal injury (RRI) among U.S. military service members continues to negatively impact force readiness. Read More

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November 2021

Estimating time to reinjury among Washington State injured workers by degree of permanent impairment: Using state wage data to adjust for time at risk.

Am J Ind Med 2021 01 18;64(1):13-25. Epub 2020 Nov 18.

Institute for Work and Health, Ontario, Toronto, Canada.

Background: Many injured workers are reinjured, but reinjury risk is challenging to quantify. Because many injured workers face delayed return-to-work, or return to part-time or intermittent jobs, a calendar timescale may overestimate actual work-time at risk, yielding underestimated reinjury rates. Objectives included determining: (1) reinjury risk by degree of permanent impairment and other factors, and (2) how choice of timescale affects reinjury estimates. Read More

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January 2021

Combat-Sustained Peripheral Nerve Injuries in the United States Military.

J Hand Surg Am 2021 02 2;46(2):148.e1-148.e8. Epub 2020 Oct 2.

Clinical and Experimental Orthopaedics, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD.

Purpose: Combat-sustained peripheral nerve injuries (CSPNIs) are often the result of high-energy blast mechanisms and are increasing in frequency and severity among US forces engaged in contemporary warfare. The purpose of this study was to describe CSPNIs and report outcomes after evaluation in a military multidisciplinary peripheral nerve clinic. We hypothesized that a shorter time to evaluation by a multidisciplinary peripheral nerve team would improve outcomes. Read More

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February 2021

One-year prospective analysis of hand and forearm injuries in children.

J Pediatr Orthop B 2021 Jul;30(4):364-370

Department of Orthopaedic Surgery.

The primary aim of this study was to assess the epidemiological evaluation of acute pediatric hand injuries frequently encountered in emergency department units. Its secondary aim was to identify the risk factors associated with such injuries. Out of the 1547 acute hand and forearm injury cases admitted to emergency trauma department between March 2017 and March 2018, the 129 injuries pertaining to children were included in the study. Read More

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Developing a Lay First Responder Program in Chad: A 12-Month Follow-Up Evaluation of a Rural Prehospital Emergency Care Program.

Prehosp Disaster Med 2020 Oct 29;35(5):546-553. Epub 2020 Jul 29.

University of Michigan, Department of Surgery, Ann Arbor, MichiganUSA.

Introduction: The World Health Organization (WHO; Geneva, Switzerland) recommends lay first responder (LFR) programs as a first step toward establishing formal Emergency Medical Services (EMS) in low- and middle-income countries (LMICs) to address injury. There is a scarcity of research investigating LFR program development in predominantly rural settings of LMICs.

Study Objective: A pilot LFR program was launched and assessed over 12 months to investigate the feasibility of leveraging pre-existing transportation providers to scale up prehospital emergency care in rural, low-resource settings of LMICs. Read More

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October 2020

Factors Associated with U.S. Military Women Keeping Guns or Weapons Nearby for Personal Security Following Deployment.

J Womens Health (Larchmt) 2021 01 27;30(1):103-112. Epub 2020 May 27.

Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa, USA.

The relationship between postdeployment health characteristics and U.S. military women and women Veteran's gun/weapons use for personal safety outside of military is not well understood. Read More

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January 2021

Pediatric burn resuscitation, management, and recovery for the pediatric anesthesiologist.

Curr Opin Anaesthesiol 2020 Jun;33(3):360-367

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Purpose Of Review: The purpose of this article is to summarize literature in pediatric burn resuscitation and management that is relevant to the pediatric anesthesiologist. The scope of the literature is expanding as long-term survival in even the most critically ill, burn-injured children has increased.

Recent Findings: Longstanding variations in the care of burn-injured children exist despite decades of experience in burn care management. Read More

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Trauma Care on Geriatric Population in Trauma Centre Faculty Hospital Královské Vinohrady in Prague.

Cas Lek Cesk 2020 ;159(1):17-21

Higher incidence of injury in trauma patients older than 65 years is connected with growing morbidity and mortality, first of all in polytrauma. Incidence of preexisting diseases play a great role in development of postinjury reaction. There are risk factors for genesis of postinjury complications and also mortality of victims. Read More

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The rational for and efficacy of subchondroplasty in the injured worker.

J Orthop 2020 Nov-Dec;22:48-52. Epub 2020 Mar 27.

The Center for Advanced Sports Medicine Knee and Shoulder, 90 Millburn Ave, Suite 204 Millburn, NJ, USA.

Objective: Evaluation and treatment of workplace knee injuries with pre existing arthritis is difficult from both a causality and a clinical perspective. The current study evaluates the relevance and treatment of the bone marrow edema (BME) in injured workers.

Methods: 179 patients who injured their knee at work and were found to have arthritis and BME and subsequently underwent subchondral calcium phosphate injections (subchondroplasty) were reviewed. Read More

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Intelligent Robotics Incorporating Machine Learning Algorithms for Improving Functional Capacity Evaluation and Occupational Rehabilitation.

J Occup Rehabil 2020 09;30(3):362-370

Department of Electrical and Computer Engineering, University of Alberta, Edmonton, Canada.

Introduction Occupational rehabilitation often involves functional capacity evaluations (FCE) that use simulated work tasks to assess work ability. Currently, there exists no single, streamlined solution to simulate all or a large number of standard work tasks. Such a system would improve FCE and functional rehabilitation through simulating reaching maneuvers and more dexterous functional tasks that are typical of workplace activities. Read More

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September 2020

Biomechanical Evaluation of Preoperative Rehabilitation in Patients of Anterior Cruciate Ligament Injury.

Orthop Surg 2020 Apr 8;12(2):421-428. Epub 2020 Mar 8.

Department of Health Management, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.

Objectives: To investigate the biomechanical characteristics of patients with anterior cruciate ligament (ACL) injury by gait analysis, surface electromyography (SEMG), and proprioception test, and provide rehabilitation suggestions according to the results.

Methods: In this retrospective cohort study, 90 adults with unilateral ACL injury, ranging in age from 19 to 45 years (66 men and 24 women, average age: 30.03 ± 7. Read More

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