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[Acute illness caused by the handling of chemicals in Reports of Worker Casualties with ≥ 4 days of work absence or death in Japan in 2020].

OBJECTIVES: There are few reports of chemical-related illnesses in the Reports of Worker Casualties in Japan. Using these reports from 2020, this study analyzed the relationship between illnesses caused by chemical handling stratified by male or female sex, using the Japan Standard Industrial Classification (JSIC). METHODS: Our study included 244 patients from the Reports of Worker Casualties submitted to the Competent Labor Standards Inspection Office in 2020 with chemical-related illnesses resulting in at least 4 days of absence. Patients were classified into major and minor industrial grou

Differences in time to return to work among patients undergoing simultaneous versus staged bilateral total knee arthroplasty.

AIMS: Many patients undergoing total knee arthroplasty (TKA) have severe osteoarthritis (OA) in both knees and may consider either simultaneous or staged bilateral TKA. The implications of simultaneous versus staged bilateral TKA for return to work are not well understood. We hypothesized that employed patients who underwent simultaneous bilateral TKA would have significantly fewer days missed from work compared with the sum of days missed from each operation for patients who underwent staged bilateral TKA. METHODS: The prospective arthroplasty registry at the Hospital for Special Surgery was

Return-to-work intervention versus usual care for sick-listed employees: health-economic investment appraisal alongside a cluster randomised trial.

OBJECTIVE: To evaluate the health-economic costs and benefits of a guided eHealth intervention (E-health module embedded in Collaborative Occupational healthcare (ECO)) encouraging sick-listed employees to a faster return to work. DESIGN: A two-armed cluster randomised trial with occupational physicians (OPs) (n=62), clustered and randomised by region into an experimental and a control group, to conduct a health-economic investment appraisal. Online self-reported data were collected from employees at baseline, after 3, 6, 9 and 12 months. SETTING: Occupational health care in the Netherlands.

Protective determinants of sickness absence among employees with multisite pain-a 7-year follow-up.

We identified factors protective of all-cause sickness absence (SA) among subjects with multisite musculoskeletal pain (MSP). The nationally representative source sample comprised 3420 actively working Finns aged 30 to 55 in year 2000 and alive at follow-up. Pain in 18 body locations was combined into four sites (neck, low back, upper limbs, and lower limbs). The baseline prevalence of MSP (pain in ≥ 2 sites) was 32%. Baseline data on sociodemographic factors, work ability, work, health, and lifestyle were gathered by questionnaire, interview, and clinical examination and linked with national

Incapacity of work after arthroscopic Bankart repair.

BACKGROUND AND INTRODUCTION: The incapacity with respect to work following anterior-inferior shoulder dislocation and subsequent Bankart repair has not been previously examined. The objective of this study was to examine a patient's incapacity according to the classification by the REFA Association. The recovery time was measured and the outcome of patients with heavy workload was compared to those with lower workloads. MATERIALS AND METHODS: A total of 74 patients who underwent isolated arthroscopic Bankart repair fulfilled the inclusion criteria. The Constant-Murley Score, UCLA Shoulder Sco

What physicians want to learn about sickness certification: analyses of questionnaire data from 4019 physicians.

BACKGROUND: Sickness absence is a problem in many Western countries. Physicians have an essential role in sickness certification of patients, which is often recommended in health care but may have side effects. Despite the potentially harming impact of sickness absence, physicians have very limited training in insurance medicine, and there is little research on sickness certification practices. Our aim was to ascertain what knowledge and skills physicians in different clinical settings feel they need in order to improve their competence in sickness certification. METHODS: The data for analysi

Early employer response to workplace injury: what injured workers perceive as fair and why these perceptions matter.

The authors examined whether early employer response to workplace injury affects injured workers' subsequent attitudes and mental health. At 1 month and 6 months postinjury, telephone surveys were conducted with 344 workers from Ontario, Canada, who had experienced a musculoskeletal lost-time workplace injury. One-month reports of initial supervisor reaction to the injury and the use of workplace-based return-to-work strategies (early contact with worker, ergonomic assessment, presence of designated coordinator, accommodation offer) were hypothesized to predict reports of fairness, affective c

Occupational injuries in Korea: a comparison of blue-collar and white-collar workers' rates and underreporting.

This study was performed to determine the differences in occupational injuries and illnesses between white-collar and blue-collar workers and to estimate the magnitude of the underreporting of these injuries and illnesses in Korea. Two datasets were used. One was a cohort established in the Gyeongin area with workers who underwent mandated health examinations, and the other was the National Health Insurance (NHI) data of claims submitted by workers employed between 1999 and 2001. Workers were classified into two groups--white-collar and blue-collar workers--according to their job types and the

Multi-center investigation on the influence of clinical characteristics and molecular group A streptococci diagnostics on the management of tonsillopharyngitis in pediatric practices in Berlin-BASE study.

UNLABELLED: A clear distinction between viral, bacterial, or non-infectious tonsillopharyngitis is not always possible due to overlapping cl … McIsaac score was ≥3 (OR =4.67 (CI 95% 3.22-6.79, p < 0.0001)). In patients <5 years, the number of sick leave days was 37% higher than in older ones (IRR = 1.37 (95% CI 1.18-1.59, p<0.0001)). CONCLUSION: A McIsaac score ≥ 3 and a positive streptococcal test result were strong drivers for antibiotic prescription. No difference in antibiotic prescription rat …

Предсказатели способности работать в множестве склерозов.

Множественный склероз (MS) — хроническое расстройство, которое, как правило, свидетельствует об аккумулировании инвалидности и влияет на трудоспособность. Острота заболевания, как правило, определяется врачами, имеющими расширенную шкалу учета инвалидности (EDSS) в клинике, однако имеются также опросные листы, о которых сообщают пациенты, такие, как шкала множественных последствий склероза (MSIS-29) или шкала утомления моторных и когнитивных функций (FSMC). Цель этой работы заключалась в изучении количественной связи между степенью серьезности заболеваний и числом дней с выплатой пособий по бо

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… The disability might also have a different impact on shorter periods of sickness benefits, which may be masked since the first 14 days of sick leave, paid by the employer, were not included. … E., “Risk Factors for Disability Pension in a Population‐Based Cohort of Men and Women on Long‐Term Sick Leave in Sweden,” European Journal of Public Health 18, no. 3 (2008): 224–231. 21. …

Trajectories of work disability among individuals with anxiety-, mood/affective-, or stress-related disorders in a primary healthcare setting.

BACKGROUND: Anxiety-, mood/affective-, or stress-related disorders affect up to one-third of individuals during their lives and often impact their ability to work. This study aimed to delineate trajectories of work disability (WD) among individuals diagnosed with anxiety-, mood/affective-, or stress-related disorder in primary healthcare and to examine associations between trajectory group membership and sociodemographic, clinical, and clinical-related factors. METHODS: The study population included working-age individuals, aged 22-62 years, living in Stockholm County, Sweden, who experienced

Factors shaping return to work: a qualitative study among heart failure patients in Denmark.

PURPOSE: For people of working-age diagnosed with heart failure, return to work (RTW) is often a significant rehabilitation goal. To inform vocational rehabilitation strategies, we conducted a qualitative study aiming at exploring patient experienced support needs, and barriers and facilitators to RTW. MATERIALS AND METHODS: Ten men and eight women with heart failure (48-60 years) were interviewed in Denmark during 2022. A thematic analysis was conducted using the Sherbrooke model as framework. RESULTS: Multiple factors operating at different levels shaped participants' RTW processes. Person

Patient-Provider Communication: Experiences of Low-Wage-Earning Breast Cancer Survivors in Managing Cancer and Work.

In 2017, there will be more than 250,000 new diagnoses of invasive breast cancer; most cases will occur in working-age women. The goal of this qualitative study was to explore low-wage-earning breast cancer survivors' experiences communicating with their oncology team about cancer and employment issues. Twenty-four low-wage-earning breast cancer survivors in the USA were interviewed in 2012 using a structured interview protocol. Sociodemographic data, cancer history, and patient-provider communication experiences regarding the management of cancer and work were collected. Interviews were analy

Recurrent back pain during working life and exit from paid employment: a 28-year follow-up of the Whitehall II Study.

OBJECTIVES: To examine the impact of recurrent, as compared with single, reports of back pain on exit from paid employment over decades of follow-up. METHODS: The study sample was from the British Whitehall II Study cohort (n=8665, 69% men, aged 35-55 at baseline), who had provided information about their reports of back pain between 1985 and 1994. Data about exit from paid employment (health-related and non-health related exit, unemployment and other exit) were collected between 1995 and 2013. Repeated measures logistic regression models were fitted to examine the associations, and adjust fo

Rates and predictors of recurrent work disability due to common mental health disorders in the United States.

CONTEXT: Despite the high prevalence of work disability due to common mental disorders (CMD), no information exists on the rates and predictors of recurrence in a United States population. OBJECTIVE: To estimate recurrent work disability statistics and evaluate factors associated with recurrence due to CMDs including adjustment, anxiety, bipolar, and depressive disorders. METHODS: Recurrent work disability statistics were calculated using a nationwide database of disability claims. For the CMDs, univariate and multiple variable analyses were used to examine demographic factors and comorbidit

The impact of psoriasis on professional life: PsoPRO, a French national survey.

BACKGROUND: The physical, social and mental burden of psoriasis is well known, but its occupational impact has been less investigated. OBJE … was no greater in PsO patients. Conversely, unemployment within the past 5 years and mean number of sick leaves within the previous year were more frequent in PsO + PsA. In patients with active psoriasis skin lesions, all aspects of the WPAI questionnaire were negatively impacted in PsoST and PsO + PsA patients, but not in PsO patients: Levels of absenteeism …

Depressive symptoms and risk of absence among workers in a manufacturing company: a 12-month follow-up study.

Depression is a leading cause of reduced work ability and absence due to sickness. The objective of this study was to investigate how depressive symptoms are prospectively associated with subsequent absence, whether caused by illness or accidents, among manufacturing workers. This prospective study was conducted on 2,349 male and female employees that underwent a regular health examination at a university hospital. Depressive symptoms were measured at baseline using the Center for Epidemiologic Studies Depression (CES-D) Scale. Data on self-reported absence due to illness and accidents were ob

Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: Design of a cluster randomized controlled trial of a problem-solving based intervention versus care-as-usual conducted at the Occupational Health Services.

BACKGROUND: Common mental disorders (CMDs) are among the leading causes of sick leave in Sweden and other OECD countries. They result in suffering for the individual and considerable financial costs for the employer and for society at large. The occupational health service (OHS) can offer interventions in which both the individual and the work situation are taken into account. The aim of this paper is to describe the design of a study evaluating the effectiveness of an intervention given at the OHS to employees with CMDs or stress-related symptoms at work. In addition, intervention fidelity an…

[Duties of physicians or other healthcare workers connected with diagnosis, treatment, dissemination of information, assessment and registration of TB patients].

Effective laws provide a series of duties to be performed by physicians and other medical personnel associated with TB. Every TB case and death resulting from TB as well as any case of undesirable result of BCG test requires notification and filling in of a special form. The physician has a duty to inform TB patients their legal guardians, close relatives or friends about the need to undergo sanitary and diagnostic procedure, treatment or vaccination, as well as on how to prevent disease from spreading. Persons failing to comply with the relevant numerous legal requirements in this respect are

Work ability as obscure, complex and unique: views of Swedish occupational therapists and physicians.

UNLABELLED: The concept of work ability is not clearly defined although it has a central place in vocational rehabilitation. Several health professions are involved in assessing work ability, physicians and occupational therapists are two of these. OBJECTIVE: The purpose of this study was to explore occupational therapist and physician views about work ability and experiences in assessing work ability. PARTICIPANTS: Fourteen physicians and 23 occupational therapists participated in seven focus group discussions that were audio taped and transcribed verbatim. METHODS: Qualitative content ana