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Fadzli F, Ramli NM. Radiology Loading and Coverage Hours in Malaysia. Korean J Radiol 2024; 25:412-413. [PMID: 38627877 PMCID: PMC11058426 DOI: 10.3348/kjr.2024.0111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 02/20/2024] [Indexed: 05/01/2024] Open
Affiliation(s)
- Farhana Fadzli
- College of Radiology, Academy of Medicine of Malaysia, Kuala Lumpur, Malaysia
- Department of Biomedical Imaging, University of Malaya, University Malaya Research Imaging Centre, Kuala Lumpur, Malaysia
| | - Norlisah Mohd Ramli
- College of Radiology, Academy of Medicine of Malaysia, Kuala Lumpur, Malaysia
- Department of Biomedical Imaging, University of Malaya, University Malaya Research Imaging Centre, Kuala Lumpur, Malaysia.
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Kreiser K, Ströber L, Gehling KG, Schneider F, Kohlbecher S, Schulz CM, Zimmer C, Kirschke JS. Simulation Training in Neuroangiography-Validation and Effectiveness. Clin Neuroradiol 2021; 31:465-73. [PMID: 32303789 DOI: 10.1007/s00062-020-00902-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Accepted: 03/25/2020] [Indexed: 12/29/2022]
Abstract
Purpose Simulators are increasingly used in the training of endovascular procedures; however, for the use of the Mentice vascular interventional system trainer (VIST) simulator in neuroradiology, the validity of the method has not yet been proven. The study was carried out to test the construct validity of such a simulator by demonstrating differences between beginner and expert neurointerventionalists and to evaluate whether a training effect can be demonstrated in repeated cases for different levels of experience. Methods In this study 4 experts and 6 beginners performed 10 diagnostic angiographies on the VIST simulator (Mentice AB, Gothenburg, Sweden). Of the cases four were non-recurring, whereas three were repeated once and ten subjects performed all tasks. Additionally, another expert performed only five non-recurring cases. The simulator recorded total time, fluoroscopy time, amount of contrast medium and number of material changes. Furthermore, gaze direction and heart rate were recorded, and subjects completed a questionnaire on workload. Results Beginners and experts showed significant differences in total duration time, fluoroscopy time and amount of contrast agent (all p < 0.05). Gaze direction, dwell time and heart rate were similar between both groups. Only beginners improved during training with respect to total duration time, fluoroscopy time and amount of contrast agent. If a case was previously known to them, the total duration and fluoroscopy time were significantly shortened (p < 0.001). Conclusion This study demonstrated both the construct validity of a diagnostic neuroangiography simulator as well as a significant training effect for beginners. Therefore, in particular beginner neurointerventionalists should use such simulation tools more extensively in their initial training.
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Svedberg P, Mather L, Bergström G, Lindfors P, Blom V. Work-Home Interference, Perceived Total Workload, and the Risk of Future Sickness Absence Due to Stress-Related Mental Diagnoses Among Women and Men: a Prospective Twin Study. Int J Behav Med 2018; 25:103-11. [PMID: 28639237 DOI: 10.1007/s12529-017-9669-9] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Purpose Work-home interference has been proposed as an important explanation for sickness absence (SA). Previous studies show mixed results, have not accounted for familial factors (genetics and shared everyday environment), or investigated diagnosis specific SA. The aim was to study whether work-home interference and perceived total workload predict SA due to stress-related mental diagnoses, or SA due to other mental diagnoses, among women and men, when adjusting for various confounders and familial factors. Methods This study included 11,916 twins, 19–47 years (49% women). Data on work-to-home and home-to-work conflicts, perceived total workload, and relevant confounders were derived from a 2005 survey, and national register data on SA spells until 2013 were obtained. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Discordant twin pair design was applied to adjust for familial factors. Results Each one unit increase in work-to-home and home-to-work conflicts, and perceived total workload was associated with higher odds for SA due to stress-related mental diagnoses and to SA due to other mental diagnoses among women, when adjusting for sociodemographic factors (ORs 1.15–1.31). Including health or familial factors, no associations remained. For men, each one unit increase in work-to-home conflicts was associated with higher odds for SA due to stress-related diagnoses (ORs 1.23–1.35), independently of confounders. Conclusion Work-to-home conflict was independently associated with future SA due to stress-related diagnoses among men only. Health- and work-related factors seem to be important confounders when researching work-home interference, perceived total workload, and SA. Not including such confounders involves risking drawing incorrect conclusions. Further studies are needed to confirm sex differences and whether genetic factors are important for the associations studied.
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Klenow TD, Mengelkoch LJ, Stevens PM, Ràbago CA, Hill OT, Latlief GA, Ruiz-Gamboa R, Jason Highsmith M. The role of exercise testing in predicting successful ambulation with a lower extremity prosthesis: a systematic literature review and clinical practice guideline. J Neuroeng Rehabil 2018; 15:64. [PMID: 30255804 PMCID: PMC6156901 DOI: 10.1186/s12984-018-0401-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Growing discontent with the k-level system for functional classification of patients with limb loss and movement of healthcare toward evidence-based practice has resulted in the need for alternative forms of functional classification and development of clinical practice guidelines to improve access to quality prosthetic interventions. The purpose of this project was to develop and present a clinical practice recommendation for exercise testing in prosthetic patient care based on the results and synthesis of a systematic literature review. METHODS Database searches of PubMed, Google Scholar, Web of Science, and Cochrane were conducted and articles reviewed. Of the potential 1386 articles 10 met the criteria for inclusion. These articles were assessed using the critical appraisal tool of the United Kingdom National Service Framework for Long-Term Conditions. Of the 10 included articles eight were of high, one of medium, and one of low, quality. Data from these articles were synthesized into 6 empirical evidence statements, all qualifying for research grade A. These statements were used to develop the proposed clinical practice guideline. RESULTS While the results of this systematic review were not able to support the direct connection between cardiorespiratory performance and K-levels, the literature did support the ability of exercise testing results to predict successful prosthetic ambulation in some demographics. Both continuous maximum-intensity single lower extremity ergometer propelled by a sound limb and intermittent submaximal upper extremity ergometer protocols were found to be viable evaluation tools of cardiorespiratory fitness and function in the target population. CONCLUSION The ability to sustain an exercise intensity of ≥50% of a predicted VO2max value in single leg cycle ergometry testing and achievement of a sustained workload of 30 W in upper extremity ergometry testing were found to be the strongest correlates to successful ambulation with a prosthesis. VO2 values were found to increase in amputee subjects following a 6-week exercise program. These synthesized results of the systematic literature review regarding exercise testing in patients with loss of a lower extremity were used to develop and a present a clinical treatment pathway.
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Affiliation(s)
- Tyler D. Klenow
- Orthotic & Prosthetic Centers, Inc, 3005 Caring Way, Suite 3, Port Charlotte, FL 33952 USA
| | | | - Phillip M. Stevens
- Hanger Clinic, Salt Lake City, UT USA
- University of Utah School of Medicine, Physical Medicine and Rehabilitation, Salt Lake City, UT USA
| | - Chris A. Ràbago
- Center for the Intrepid, Department of Orthopaedics and Rehabilitation, Brooke Army Medical Center, Fort Sam Houston, TX USA
| | - Owen T. Hill
- Extremity Trauma & Amputation Center of Excellence (EACE), San Antonio Medical Center, Fort Sam Houston, TX USA
| | - Gail A. Latlief
- Department of Veterans Affairs, Veterans Health Administration, Regional Amputation Center, James A. Haley Veterans Hospital, Tampa, FL USA
| | | | - M. Jason Highsmith
- Extremity Trauma & Amputation Center of Excellence (EACE), James A. Haley Veterans Hospital, Tampa, FL USA
- University of South Florida. Morsani College of Medicine, School of Physical Therapy & Rehabilitation Sciences, Tampa, FL USA
- Army Reserves. 319th Minimal Care Detachment, Pinellas Park, FL USA
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Gustafsson CH, Östberg AL. Experiences from the Merger of Clinics in the Swedish Public Dental Service - the Employee Perspective. Open Dent J 2017; 11:503-511. [PMID: 29151991 PMCID: PMC5676013 DOI: 10.2174/1874210601711010503] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Revised: 06/16/2017] [Accepted: 08/12/2017] [Indexed: 12/05/2022] Open
Abstract
Objectives: The purpose of this study was to investigate the experiences of employees regarding the merger of clinics within the Public Dental Service (PDS), Västra Götaland Region, Sweden. Methods: Employees (dentists, dental hygienists, dental nurses) affected by both administrative and geographical mergers of dental clinics answered a web-based survey about experiences and effects of the merger process (n = 99, 47%). The Swedish short-form version of “The Nordic Questionnaire for Psychological and Social Factors at Work” (QPSNordic), the QPSNordic-34+ was used. Chi-squared tests and logistic regression analyses were used. Results: Two thirds of the participants were aged ≥ 50 years. The respondents stated that the reasons for the merger were often made clear (78%). Satisfaction with and involvement in the merger process received lower scores (45%). Work was often perceived as stressful, irrespective of the merger. Job demands and engagement scored positively, but control at work was given a low score (one fifth stated fairly high or high control). Dentists (OR 5.9; 95%, CI 1.1-32.3), but not dental hygienists (OR 2.8; 95%, CI 0.9-9.0), indicated stress significantly more often than dental nurses (reference) (adjusted for age and gender). Conclusion: Employees in the Public Dental Service (PDS) in a Swedish region had mainly positive experiences after the merger of clinics; however, their involvement in the process was low. Work demands were perceived as high. These findings should be considered when planning mergers in dental organizations.
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Affiliation(s)
| | - Anna-Lena Östberg
- Public Dental Service, Västra Götaland, Sweden.,Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.,R&D Centre Skaraborg, Skövde, Sweden
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Groot JAM, Jonkers FJ, Kievit AJ, Kuijer PPFM, Hoozemans MJM. Beneficial and limiting factors for return to work following anterior cruciate ligament reconstruction: a retrospective cohort study. Arch Orthop Trauma Surg 2017; 137:155-166. [PMID: 27873020 PMCID: PMC5250649 DOI: 10.1007/s00402-016-2594-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Indexed: 01/15/2023]
Abstract
PURPOSE Evidence-based advice for return to work (RTW) after anterior cruciate ligament (ACL) reconstruction is not available. Therefore, the objectives of this study were to determine when patients achieve full RTW, and to explore the beneficial and limiting factors for fully RTW after ACL reconstruction. METHODS A retrospective cohort study was performed after ACL reconstruction among 185 patients in one hospital. Data from patient files and a questionnaire were used to explore whether patient-, injury-, surgery-, sports-, work- and rehabilitation-related factors are beneficial or limiting for fully RTW after ACL reconstruction, using a backward stepwise logistic regression analysis. RESULTS Of the 125 (68%) patients that returned the questionnaire, 36 were not part of the working population. Of the remaining 89 patients, 82 patients (92%) had returned fully to work at follow-up. The median time to fully RTW was 78 days. In the final regression model, which explained 29% of the variance, a significant OR of 5.4 (90% CI 2.2-13.1) for RTW > 78 days was observed for patients performing heavy knee-demanding work compared to patients performing light knee-demanding work. In addition, a significant and positive OR (1.6, 90% CI 1.2-1.9) for the number of weeks walking with the aid of crutches for RTW > 78 days was observed in the final model. CONCLUSION After ACL reconstruction, 92% of the patients fully return to work at a median time of 78 days. The significant predictors for fully RTW > 78 days are performing heavy knee-demanding work and a longer period of walking aided with crutches after ACL reconstruction.
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Affiliation(s)
- Judith A. M. Groot
- CORAL—Center for Orthopaedic Research Alkmaar, Orthopaedic Department, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands
| | - Freerk J. Jonkers
- CORAL—Center for Orthopaedic Research Alkmaar, Orthopaedic Department, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands
| | - Arthur J. Kievit
- Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
| | - P. Paul F. M. Kuijer
- Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Marco J. M. Hoozemans
- CORAL—Center for Orthopaedic Research Alkmaar, Orthopaedic Department, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands ,Faculty of Behavioural and Movement Sciences, Department of Human Movement Sciences, Vrije Universiteit Amsterdam, MOVE Research Institute Amsterdam, Van der Boechorststraat 9, 1081 BT Amsterdam, The Netherlands
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Berg-Beckhoff G, Østergaard H, Jepsen JR. Prevalence and predictors of musculoskeletal pain among Danish fishermen - results from a cross-sectional survey. J Occup Med Toxicol 2016; 11:51. [PMID: 27891170 PMCID: PMC5111275 DOI: 10.1186/s12995-016-0140-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 11/08/2016] [Indexed: 01/13/2023] Open
Abstract
Background Fishermen work in a physically challenging work environment. The aim of this analysis was to estimate the prevalence and predictors of musculoskeletal pain among Danish fishermen. Method A cross-sectional survey in a random sample of Danish fishermen was done with application of the Nordic questionnaire regarding musculoskeletal pain considering lower back, shoulders, hand neck, knee, upper back elbow, hip and feet. In total, 270 fishermen participated in the study (response rate: 28%). Workload, vessel type, skipper, duration of work, sideline occupation, days/weeks of fishing at sea, age, BMI and education were used as predictors for the overall musculoskeletal pain score (multiple linear regression) and for each single pain site (multinomial logistic regression). Results The prevalence of pain was high for all musculoskeletal locations. Overall, more than 80% of the responding Danish fishermen reported low back pain, which in 37% lasted for a minimum of 30 days during the past year. In the multiple linear regression analysis, middle workload was associated with a 32% (95% CI: 19-46%) and high workload with 60% (95% CI: 46-73%) increased musculoskeletal pain score compared to low work load. Multinomial logistic regression models showed that workload was the only predictor for all pain sites, in particular regarding upper and lower limb pain. Conclusion Although changes were implemented to improve the fishermen’s work environment, the work continues to be physically demanding and impacting their musculoskeletal pain. Potential explanation for this unexpected result like increased work pressure and reduced financial attractiveness in small scale commercial fishery needs to be confirmed in future research.
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Affiliation(s)
- Gabriele Berg-Beckhoff
- Unit for Health Promotion Research, University of Southern Denmark, Niels Bohrs Vej 9, 6700 Esbjerg, Denmark
| | - Helle Østergaard
- Centre of Maritime Health and Society, University of Southern Denmark, Niels Bohrs Vej 9, Esbjerg, 6700 Denmark
| | - Jørgen Riis Jepsen
- Centre of Maritime Health and Society, University of Southern Denmark, Niels Bohrs Vej 9, Esbjerg, 6700 Denmark
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Shanley E, Bailey L, Sandago MP, Pinkerton A, Singleton SB, Thigpen CA. The use of a pitch count estimator to calculate exposure in collegiate baseball pitchers. Phys Ther Sport 2015; 16:344-8. [PMID: 26239218 DOI: 10.1016/j.ptsp.2015.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Revised: 01/18/2015] [Accepted: 02/07/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Excessive pitch counts have been associated with arm pain in pitchers. Tracking of exposure is difficult based on participation on multiple teams and variability in organizational rules. Statisticians have estimated exposure for professional pitchers using pitch count estimators. Our objective was to determine the utility of pitch count estimators at the collegiate level. DESIGN AND PARTICIPANTS Cohort; 29 collegiate pitchers. METHODS The team athletic trainer collected game pitch count data. The total number of batters faced (PA), strike outs (SO), and walks (BB) were recorded from the box score and entered into the pitch count formula (3.3*PA + 1.5*SO + 2.2*BB) to estimate pitch counts. Intraclass correlation coefficients (ICCs(2,1)) and standard error of measurement (SEM), were used to examine the agreement between actual and estimated pitch counts. RESULTS The mean pitch count was correlated with the estimated pitch count (628 ± 476 vs.603 ± 426; r = .99, p < .001). The actual and estimated pitch counts per season demonstrated excellent agreement (ICC(2,1) = 0.99; SEM = 56 pitches). The ICC(2,1) calculated to compare actual and estimated pitch counts for starters and relievers (ICC(2,1) = 0.98; SEM = 77; 0.98; SEM = 39) reflect good agreement. CONCLUSIONS The estimator provides a method of quantifying exposure for pitchers to help plan safe participation and control for confounding factors when attempting to understand the risks of pitching.
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Affiliation(s)
- Ellen Shanley
- Proaxis Therapy, 200 Patewood Dr Suite C150, Greenville, SC 29615, USA; SC Center for Rehabilitation and Reconstruction Sciences, 200 Patewood Dr Suite C100, Greenville, SC 29615, USA.
| | - Lane Bailey
- IRONMAN Sports Medicine Institute, Memorial Hermann Health System, 6400 Fannin, Suite 1620, Houston, TX 77030, USA
| | - Michael P Sandago
- University of South Carolina Upstate, 800 University Way, Spartanburg, SC 29303, USA
| | - Abigail Pinkerton
- Proaxis Therapy, 200 Patewood Dr Suite C150, Greenville, SC 29615, USA
| | - Steven B Singleton
- The Steadman Clinic, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA
| | - Charles A Thigpen
- Proaxis Therapy, 200 Patewood Dr Suite C150, Greenville, SC 29615, USA; SC Center for Rehabilitation and Reconstruction Sciences, 200 Patewood Dr Suite C100, Greenville, SC 29615, USA
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