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Recurrent dislocation of the shoulder joint.

[Figure: see text] Dr. DePalma was the first editor of Clinical Orthopaedics and Related Research, established by the recently formed Associ … 966, when he resigned the position and recommended the appointment of Dr. Marshall R. Urist. At his retirement, Clinical Orthopaedics and Related Research was well established as a major journal. Dr. Anthony F. DePalma was born in Philadelphia in 1904, the son of immigrants from Alberona in central Foggia, Italy [1]. He attended the University of Maryland fo …

A digital intervention to protect cognitive health in older adults with cognitive impairment: a three-arm, open-label, randomised controlled trial.

BACKGROUND: Cognitive impairment affects health and social care. Intensive multicomponent interventions work but are impractical for primary care. The study aimed to trial brief approaches for cognitive health. METHODS: This was an open-label trial among adults aged 60-85 years with internet access and low cognitive scores (SD ≥1 below normal on the Baddeley verbal reasoning test, the cognitive criteria for age-associated-cognitive decline [AACD]). We used computer-generated random numbers to allocate participants to one of three groups: (1) Active Brains website (supporting physical activity

[Analysis of labor function rehabilitation after total knee arthroplasty in patients with rheumatoid arthritis].

OBJECTIVE: To explore the functional rehabilitation of patients with rheumatoid arthritis (RA) after total knee arthroplasty (TKA). METHODS: A retrospective analysis was conducted on 101 patients who needed TKA due to rheumatoid arthritis (RA) involving both knees from January 2017 to December 2020, including 16 males and 85 females, aged from 41 to 65 years old with an average of (58.13±5.53) years old;body mass index (BMI) ranged from 16.88 to 33.33 kg·m-2 with an average of (23.16±3.49) kg·m-2;63 patients with grade 1, 29 patients with grade 2, and 9 patients with grade 3 according to clas

Is Self-reported Return to Duty an Adequate Indicator of Return to Sport and/or Return to Function in Military Patients?

BACKGROUND: In the military, return-to-duty status has commonly been used as a functional outcome measure after orthopaedic surgery. This is sometimes regarded similarly to return to sports or as an indicator of return to full function. However, there is variability in how return-to-duty data are reported in clinical research studies, and it is unclear whether return-to-duty status alone can be used as a surrogate for return to sport or whether it is a useful marker for return to full function. QUESTIONS/PURPOSES: (1) What proportion of military patients who reported return to duty also retur

Long-term Functional Decline After High-Risk Elective Colorectal Surgery in Older Adults.

BACKGROUND: Although most surgical outcomes research focuses on clinical end points and complications, older adult patients may value functional outcomes more. However, little is known about the risk of long-term functional disability after colorectal procedures. OBJECTIVE: The purpose of this research was to understand the incidence and likelihood of functional decline after high-risk (ie, ≥1% inpatient mortality) colorectal operations both without and with complications. DESIGN: This was a retrospective matched cohort study. SETTINGS: The Health and Retirement Study, a nationally represen…

Association between different dietary patterns and the risk of major brain disorders: a prospective multi-cohort study.

BACKGROUND: While diverse dietary patterns are emerging from nutritional research, comprehensive comparisons of their effects on brain healt … as then validated for its associations with a range of brain health outcomes in the U.S. Health and Retirement Study (HRS, with participant data collected between 2013 and 2014) and the Chinese Longitudinal Healthy Longevity Survey (CLHLS, with participant data collected in 2018) using generalized linear models to analyze the data. Participants from these tw …

Abass Alavi: A giant in Nuclear Medicine turns 80 and is still going strong!

Little was written in the stars above the city of Tabriz in Iran on March 15, 1938 indicating that a newborn citizen would immigrate to Amer … ane Alavi retired some years ago, Abass Alavi continued his professional career and has no plans of retirement when he turns 80 on March 15, 2018 after 46 years in nuclear medicine at the University of Pennsylvania and with an admirable network of pupils and colleagues across all five continents. On the contrary, Alavi has probably never been busier, his sci …

What Factors Are Associated with Increased Financial Burden and High Financial Worry For Patients Undergoing Common Hand Procedures?

BACKGROUND: Few studies have examined whether orthopaedic surgery, including hand surgery, is associated with patients' financial health. We sought to understand the level of financial burden and worry for patients undergoing two common hand procedures-carpal tunnel release and open reduction and internal fixation for a distal radius fracture-as well as to determine factors associated with a higher financial burden and worry. QUESTIONS/PURPOSES: In patients undergoing operative treatment for isolated carpal tunnel syndrome with carpal tunnel release or open reduction and internal fixation for

"I think we've got too many tests!": Prenatal providers' reflections on ethical and clinical challenges in the practice integration of cell-free DNA screening.

BACKGROUND: The recent introduction of cell-free DNA-based non-invasive prenatal screening (cfDNA screening) into clinical practice was expected to revolutionize prenatal testing. cfDNA screening for fetal aneuploidy has demonstrated higher test sensitivity and specificity for some conditions than conventional serum screening and can be conducted early in the pregnancy. However, it is not clear whether and how clinical practices are assimilating this new type of testing into their informed consent and counselling processes. Since the introduction of cfDNA screening into practice in 2011, the u

Workforce participation in relation to cancer diagnosis, type and stage: Australian population-based study of 163,556 middle-aged people.

PurposeTo quantify the relationship of cancer diagnosis to workforce participation in Australia, according to cancer type, clinical features and personal characteristics.MethodsQuestionnaire data (2006-2009) from participants aged 45-64 years (n=163,556) from the population-based 45 and Up Study (n=267,153) in New South Wales, Australia, were linked to cancer registrations to ascertain cancer diagnoses up to enrolment. Modified Poisson regression estimated age- and sex-adjusted prevalence ratios (PRs) for non-participation in the paid workforce-in participants with cancer (n=8,333) versus with

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… Hours of paid work per week among those in paid workforce and retirement due to ill health among those who retired were compared for people with cancer and those without cancer. … Among those who retired, reasons for retirement were categorised into retirement due to ill health and retirement due to other reasons. …

Work Ability in Patients with Chronic Myeloid Leukemia: A Danish Nationwide Cohort Study.

Background/Objectives: Patients with chronic myeloid leukemia (CML) have a long life expectancy due to modern treatment. However, treatment may have adverse effects that hamper work ability. Methods: Patients aged 25-60 years diagnosed in 2002-2020 were included in this nationwide matched cohort study examining work ability from diagnosis (index date), including the need for permanent disability compensation (flexible job or disability pension). Each patient was matched 1:5 on sex, birth year, and level of comorbidity with citizens from the general Danish population without CML. The risks of r

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… Retirement includes both retirement pension and early retirement pension. Number at risk included patients and matched comparators that were alive and not censored due to end of study or emigration. Abbreviations: CML, chronic myeloid leukemia. … Retirement included early retirement, a special retirement scheme that is possible for citizens that have paid into the scheme and who have not been granted either flexible job or disability pension. …

Valuable Prognostic Role of Disability, Pain, Anxiety, and Depression Scales in Instrumented Lumbar Spine Surgery for Degenerative Pathology: The SAP-LD Study.

Background: Degenerative lumbar spine disease is a prevalent cause of chronic low back pain that significantly impairs daily function and quality of life. While conservative management is the first line of treatment, many patients ultimately require instrumented lumbar spine surgery. However, postoperative outcomes vary considerably, with emerging evidence suggesting that preoperative psychological factors such as anxiety, depression, and pain catastrophizing may influence recovery. The SAP-LD (Scale for Anxiety and Pain in Lumbar Degeneration) study was designed to assess the prognostic role

Tibiotalocalcaneal Arthrodesis with Intramedullary Fibular Strut Graft and Adjuvant Hardware Fixation.

BACKGROUND: In patients with irreparable damage to the articular surfaces of the hindfoot, hindfoot arthrodesis is frequently chosen to provide pain relief and improve activities of daily living. Common etiologies leading to hindfoot arthrodesis procedures include osteonecrosis, failed total ankle arthroplasty, and deformities resulting from Charcot arthropathy or rheumatoid arthritis. Traditionally, this operation utilizes an intramedullary nail to obtain fusion of the tibiotalocalcaneal joint. Although 80% to 90% of patients achieve postoperative union, the remaining 10% to 20% experience no

National Toxic Substances Incidents Program - Nine States, 2010-2014.

PROBLEM/CONDITION: Every year in the United States, thousands of toxic substance incidents harm workers, first responders, and the public with the potential for catastrophic consequences. Surveillance data enable public health and safety professionals to understand the patterns and causes of these incidents, which can improve prevention efforts and preparation for future incidents. PERIOD COVERED: 2010-2014. DESCRIPTION OF SYSTEM: In 2010, the Agency for Toxic Substances and Disease Registry (ATSDR) initiated the National Toxic Substance Incidents Program (NTSIP), and it was retired in 2014.

The effect of maternal exposure to psychosocial job strain on pregnancy outcomes and child development.

Psychological stress at work is a rising problem in Denmark. Nearly one third of the women reported in 2005 that they had difficulties compl … a million extra days on sick-leave for women, 500,000 contacts to general practitioners, 1600 early retirements for women, and an overuse of the health-care system. With the second highest employment rate in Europe for women - and many of them in the childbearing age - effects of psychological stress at work may extend beyond the exposed individual and affec …

[Epidemiological investigation of 511 adult inpatients with gas burns].

Objective: To analyze the epidemiological characteristics of adult inpatients with gas burns in the Department of Burns of Hwa Mei Hospital of University of Chinese Academy of Sciences (hereinafter referred to as the author's unit) , so as to provide evidence for the prevention of gas burn. Methods: Medical records of all inpatients with flame burns admitted to the author's unit from January 2011 to December 2017 were collected. The percentage of adult inpatients with gas burns in total inpatients with flame burns in the same period, and their gender, age, injury season, accident place, burn s

[Links between life events, traumatism and dementia; an open study including 565 patients with dementia].

SUMMARY: Ageing is due to a progressive loss of the person's adaptation capability, whereas during this period environmental aggression incr … (10.08%), anaesthesia (8.49%), child's death (4.42%), somatic disturbance (4%), depression (3.89%), retirement (3.89%), financial problems (2.65%), loneliness (2.65%), removal (1.76%), fall (1%), alcohol (0.8%), traumatism (0.53%), spouse care (0.35%), leaving for home care, storm and caregiver change in life (0.17%). Regrouping the data: 82.71% of the answe …

Productivity losses in patients with newly diagnosed multiple myeloma following stem cell transplantation and the impact of maintenance therapy.

OBJECTIVE: This study examined productivity losses in European patients with newly diagnosed multiple myeloma (NDMM) undergoing autologous stem cell transplantation (ASCT), to better understand and model the impact of NDMM and lenalidomide maintenance therapy on productivity from a patient and societal perspective. METHODS: A cross-sectional online patient survey was conducted across the UK, Germany, France, Spain and Italy. A partitioned survival model was used to estimate productivity loss and the impact of maintenance therapy, using human capital (HC) and friction cost approaches. RESULTS

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… In the remission health state, patients could be ‘employed productive’ (EP) or transition to retired or ‘unemployed productive’ (UEP), based on the probability of retirement in their age group. … For patients choosing to retire at age 50‐65 years, 80% stated in the survey that this choice was due to their diagnosis rather than their approaching retirement age or previous planning; only 11% had originally planned to retire around this age. …

Реальное наблюдение в мире усталости в множестве склерозов, сравнивая эгоистическую когнитивную поведенческую терапию с психообразованием.

Усталость является распространенным симптомом у людей с множественным склерозом (pwMS), имеющим серьезные последствия. Самоуправляемое, основанное на Интернете вмешательство в целях сокращения усталости в MS, основанное на когнитивной поведенческой терапии (CBT), было одобрено в качестве цифрового прикладного программного обеспечения в области здравоохранения (DIGA) в системе здравоохранения Германии. Однако реальных данных об эффективности не хватает. МЕТОДЫ: 165 - пациентов, прошедших проверку на усталость с использованием шкалы утомления моторных и когнитивных функций (FSMC), 129 у них диаг

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… Higher FSMCt was also observed in smokers compared with non-smokers (77.0 [63.2–85.0] versus 70.0 [54.5–81.0]; p = 0.039) and in patients who were retired or retired early compared with full-time employed individuals (employed full time: 70.0 [52.25–79.0], retired: 91.5 [77.5–98.75], p = 0.02; in early … retirement: 87.0 [78.0–92.0], p < 0.001). …

Quality of life among family caregivers of cancer patients: an investigation of SF-36 domains.

BackgroundWith improving survival rates, cancer has become more of a chronic disease with long-term palliative care requirements. Thus, it is even more than ever necessary to pay careful attention to the well-being of family caregivers of cancer patients, as cancer trajectory is a challenging path for both patients and their caregivers. This study focusses on ascertaining the level of quality of life (QoL) domains and their attributable significant factors among a population of cancer family caregivers.MethodsThis was a cross-sectional study. The study population consist of caregivers of adult