1,358 results match your criteria: "Evaluation of the Injured Worker"

Background: Nowadays, as in every branch of industry, a large amount of data can be collected in mining, both in productivity and occupational safety. It is increasingly essential to transform this data into useful information for enterprises. Data mining is very useful in processing and extracting useful information from the processed data.

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Objective: Concern about psychiatric injuries for first responders has grown. We examine alternatives to workers' compensation (WC).

Method: We conducted 15 interviews across 5 California departments contracted with non-WC mental health (MH) providers.

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Background: An independent medical examination is a unique healthcare assessment conducted by an expert health professional with the aim of providing impartial advice to key stakeholders in workers' compensation schemes regarding a worker's injury or illness. A range of dedicated guidelines provide for best practice at local and national levels, but concerns exist regarding the quality of these encounters for all involved.

Methods: A narrative review was conducted to explore quality principles underpinning practices and reporting of independent medical examinations.

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Introduction: Ukraine's health and trauma system has been detrimentally impacted since the start of the Russian invasion in February 2022. Use of telemedicine became critical to providing timely medical care. As such, the aim of this study was to describe telemedicine's use in the health and trauma system of Ukraine following the full-scale invasion.

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Introduction: Ukraine's health and trauma system has been detrimentally impacted since the Russian Federation invasion in February 2022. The number and extent of injuries experienced in Ukraine because of trench warfare and high-intensity large-scale combat operations has not been seen in recent conflicts. Understanding attitudes and perceptions around the use of devices and products including MOVES (monitor, oxygen concentrator, ventilator, and suction system) and its use in the large-scale combat operation environment can inform lessons learned for improved prehospital care in Ukraine, as well as in other future conflicts.

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Article Synopsis
  • The study focuses on the HEATED program implemented in the emergency department at Kenyatta National Hospital in Nairobi, aimed at improving HIV testing services among high-risk populations.
  • It utilized a multi-faceted approach involving training, reorganization of resources, and advocacy to enhance HIV care integration in emergency settings.
  • Preliminary results showed an increase in HIV testing rates among emergency department patients, rising from 16.7% before implementation to a higher percentage post-implementation.
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  • Blood flow restriction exercise (BFRE) has the potential to help maintain muscle function after an Achilles tendon injury but lacks evidence from rigorous trials regarding its safety and effectiveness.
  • This study aims to compare the benefits of starting BFRE early (1-12 weeks) versus later (13-24 weeks) in rehabilitation for patients who have acute Achilles tendon ruptures.
  • The trial is a randomized controlled study that evaluates patient outcomes through specific tests at 13 and 25 weeks to determine if early BFRE improves recovery compared to conventional care and late BFRE.
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  • The study examined how the specialty of the treating clinician (orthopaedic surgeons vs. podiatrists) affects the management of zone 2 fractures of the fifth metatarsal in patients over a 10-year period at an academic medical center.
  • It found that podiatrists were more likely to recommend surgical treatment, while orthopaedic surgeons allowed a higher percentage of patients to start bearing weight immediately after the injury.
  • Patients treated by podiatrists also experienced longer periods of immobilization and slower clinical healing compared to those treated by orthopaedic surgeons.
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Purpose: The study aimed to evaluate the impact of neurocognitive reliance on jump distance and lower extremity kinematics in individuals who had undergone anterior cruciate ligament reconstruction (ACLR). This was achieved by comparing hop performance under standard and neurocognitive conditions.

Methods: Thirty-two patients after ACLR and 32 healthy controls (CTRL) participated.

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  • Multimodal monitoring combines data from various sensors to improve patient care, particularly for traumatic brain injury cases, and the study aims to implement this in battlefield scenarios using a noninvasive approach and AI-based guidance.
  • A Value-Burden Analysis was created to assess the effectiveness and deployment challenges of different sensors, ultimately scoring 17 sensors to find the best fit for military use.
  • The resulting system is modular with a comprehensive Knowledge Base, allowing it to provide guidance consistent with existing clinical guidelines while demonstrating feasibility in a prototype test.
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Introduction: The association between hypothermia, coagulopathy, and acidosis in trauma is well described. Hypothermia mitigation starts in the prehospital setting; however, it is often a secondary focus after other life-saving interventions. The deployed environment further compounds the problem due to prolonged evacuation times in rotary wing aircraft, resource limitations, and competing priorities.

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  • Combat casualties often undergo exploratory laparotomies in settings lacking modern imaging, with prior studies showing non-therapeutic laparotomy (NTL) rates as high as 32%.
  • An evaluation of military personnel from 2009 to 2014 revealed that 16.8% experienced NTLs, while 83.2% had therapeutic laparotomies for actual injuries.
  • Patients with NTLs had lower injury severity and were less likely to require intensive care or develop surgical site infections, indicating improvements in combat care and decision-making processes.
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  • The study analyzed e-scooter accidents in Vienna from 2018 to 2021, revealing a significant rise in injuries, with over 1,300 recorded incidents.
  • Most injuries occurred while riding, mostly affecting males with an average age of about 32, and many patients sustained serious injuries like fractures and concussions.
  • Helmet use was notably low among riders, but it effectively reduced head injuries, highlighting the need for better safety measures and protective gear usage while riding e-scooters.
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  • The study aims to identify key factors affecting the success of returning to work (RTW) after occupational injuries among Tunisian workers.
  • It involved a survey of 199 injured workers, revealing that 39.7% struggled with RTW, with low social support and higher biomechanical exposure being critical issues.
  • The findings highlight that inadequate social support at work is the most significant risk factor for unsuccessful RTW, alongside factors like job repetitiveness and the physical effort required.
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  • - Workplace mild traumatic brain injuries can lead to long-term symptoms and reduced productivity, making rehabilitation essential, especially with the shift to remote care during the COVID-19 pandemic.
  • - This study aims to evaluate the effectiveness of remote concussion assessments by comparing them to in-person evaluations, focusing on their sensitivity and reliability.
  • - Participants will undergo both in-person and virtual assessments at the Ottawa Hospital, using a set toolkit of tests, with all sessions recorded for later analysis to ensure consistent findings.
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Background: The Primary Trauma Care (PTC) course was originally developed to instruct health care workers in the management of patients with severe injuries in low- and middle-income countries (LMICs) with limited medical resources. PTC has now been taught for more than 25 years. Many studies have demonstrated that the 2-day PTC workshop is useful and informative to frontline health staff and has helped improve knowledge and confidence in trauma management; however, there is little evidence of the effect of the course on changes in clinical practice.

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Work-readiness self report lift capacity test short form.

Work

December 2024

The Vert Mooney Research Foundation, San Diego, CA, USA.

Background: The Multidimensional Task Ability Profile (MTAP) is a measure of self reported physical work capacity developed for injured workers with musculoskeletal disorders (MSDs) to determine readiness to return to work.

Objective: This study compared the concurrent validity of a new short form MTAP (MTAP-SF) comprised of 16 lifting and/or carrying items with the MTAP 55-item version. The hypothesis addressed is whether the validity of a version that imposes less respondent burden (MTAP-SF) would be comparable to the more burdensome instrument (MTAP-55).

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Objective: Upper limb (UL) disability in people with UL loss is well reported in the literature, less so for people with lower limb loss. This study aimed to compare UL disability in injured (major trauma) and uninjured UK military personnel, with particular focus on people with upper and lower limb loss.

Methods: A volunteer sample of injured (n = 579) and uninjured (n = 566) UK military personnel who served in a combat role in the Afghanistan war were frequency matched on age, sex, service, rank, regiment, role, and deployment period and recruited to the Armed Services Trauma Rehabilitation Outcome (ADVANCE) longitudinal cohort study.

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  • The study investigated the effectiveness of quantitative pupillometry in predicting how long it takes for injured cadets at West Point to return to full activity after a mild traumatic brain injury (mTBI).
  • Researchers performed various assessments, including pupillometry and balance tests, at different stages (baseline and post-injury) to evaluate recovery.
  • Results showed that specific pupillary measurements right after injury were linked to quicker returns to play, suggesting that pupillometry could help gauge resilience and autonomic function in the early phase of mTBI recovery.
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  • Seatbelt use significantly reduces the risk of injury and death in vehicle crashes, but rear-seated adults are less likely to wear them compared to those in the front seat.
  • A study analyzed data from nearly 1 million adults involved in crashes in New York, finding that rear-seated occupants had a 1.5 times higher mortality rate and were more often unrestrained.
  • Factors like speeding, a drinking driver, and older vehicles were linked to higher injury severity, highlighting that unrestrained rear-seated occupants face greater risks than their restrained front-seated counterparts.
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  • This study assesses a hospital-based return to work (RTW) program designed to help injured workers get back to their jobs more quickly through personalized case management.
  • Participants in the RTW program returned to work an average of 59.5 days earlier than those receiving conventional treatment, with higher overall success rates across various demographic groups.
  • Findings suggest that early referral to the program and a worker's Work Ability Score (WAS) can significantly influence the success of RTW, highlighting the importance of tailored support for vulnerable groups like migrant workers.
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  • - The French Military Health Service established the Advanced Course for Deployment Surgery (ACDS) in 2008 to improve surgeons' skills in handling Non-Compressible Torso Hemorrhage (NCTH), a leading cause of preventable death in combat scenarios.
  • - A study comparing surgical practices before and after ACDS showed that post-course patients had more severe injuries and demonstrated improved techniques, such as increased use of temporary abdominal packing and reduced re-operations for bleeding.
  • - Overall, the ACDS effectively enhanced the readiness and performance of military surgeons, leading to better management of trauma cases, particularly through improved imaging and surgical techniques.
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  • Wait times for appointments at Canadian multidisciplinary pain clinics have been excessively long for nearly 20 years, prompting this study to investigate patients' experiences during the waiting period for chronic pain care.
  • The study surveyed 593 new patients in clinics across Ontario, Quebec, and Manitoba from February 2020 to October 2022, gathering data on wait times, quality of life, and the health care professionals they consulted while waiting.
  • Results showed that while many patients waited under 6 months, a significant number experienced long waits, severely impacting their quality of life, pointing to the need for improved support and possible solutions like electronic consultations.
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