Introduction: The incidence rate of true non-traumatic radial artery aneurysms (RAAs) is low, and very few cases have been described. The majority are traumatic in origin and are iatrogenic ...pseudo-aneurysms following arterial cannulation. However, other rare causes such as vascular tumors, connective tissue diseases, and occupational injury have also been reported. Only eight cases were reported as idiopathic true RAA. Herein, I describe a case of true idiopathic distal RAA, which was managed by surgical repair. Case presentation: A 61-year-old-man with no significant medical history presented to vascular clinic with complaint of a nontraumatic mass on the volar aspect and radial side of his right wrist for 6 years. Duplex ultrasound and computed tomography angiogram revealed distal RAA. It was managed by open surgical resection with primary end-to-end anastomosis. Histopathological studies revealed true aneurysm of the distal radial artery. Conclusion: True distal RAAs are an extremely rare entity. Unawareness of this condition might lead to inappropriate management with significant morbidity. Surgical management is generally indicated, but the best treatment remains controversial. Keywords: radial artery, true aneurysm, idiopathic, arterial repair
PURPOSE: Falls are the leading cause of injury, disability, and even death among people aged 65 years or older in the U.S. according to the Center for Disease Control (CDC, 2018). This research ...sought information directly from the caregivers of older adults regarding the varying success of fall prevention. The hypothesis of the study was that there is a relationship between the number of falls older persons have had and their caregivers' perceptions of whether or not they were safe. The objectives were to explain how caregivers' perception of safety correlates with injury rates for the older adults for whom they care as well as to compare the number of falls with feelings of safety according to caregivers. DESIGN: The CDC checklist Check for Safety: A Home Fall Prevention Checklist for Older Adults. Additional qualitative questions explored the caregivers' unique perspective. This survey was uploaded to Qualtrics. Implied consent was acknowledged by the consent form on the welcome screen of the survey. The survey sought to collect both qualitative and quantitative data through 37 closed-ended questions and two open-ended. A mixed method design was used in order to combine the benefits of both the qualitative and quantitative information regarding fall prevention for older adults. METHOD: Following approval from the Florida A&M University IRB, participants for this study were recruited from two closed Facebook communities. The recruitment message provided participants with a link to a survey housed in Qualtrics. Word of mouth and snowball sampling was used for recruitment as well as Twitter with the following tweet: "Are you a #caregiver of an older adult? Please do our survey on #fallprevention". Inclusion criteria were adults 18 years or older and who self-identified as a caregiver of an older adult who is 65+ years of age. Participants had to be able to read and understand the English language and live in the United States or Canada. RESULTS: A chi-square analysis was performed using SPSS 24 to analyze both how many times the person they care for has fallen in the last three months and whether or not they perceived the person they care for as being safe. The sample included a total of 33 respondents. The frequencies of falls were significantly different, X.sup.2= (3, N=33) = 14.39, p=.002. A sample size of 28 respondents reported whether or not they perceived the person they care for as being safe. These frequencies were significantly different, X.sup.2= (2, N=28) = 34.79, p=.000. The researchers received several data themes for the two open-ended questions were that were asked of participants. An open-ended question was "Describe other factors that you believe may be safety issues in the home for the person you care for." Main themes were unclear pathways. Other themes included medical and environmental concerns. The second openended question asked, "what steps have you taken to try to improve safety and to reduce the risk of falls for the person you care for"? The data from this question were categorized into several themes including making environmental adaptations and getting assistive devices. CONCLUSION: Caregivers expressed concern about the people for whom they care. Several themes were raised to improve safety, including environmental hazards, use of adaptive equipment, and medical conditions. IMPACT STATEMENT: The study suggests caregiver concerns for safety and risk for falls should be an important component of the initial assessment and the intervention plan. The use of the CDC checklist could be used to assess fall risks.
Pain From Work-Related Tasks Among Cosmetologists DeWitt, Miles; Nathan, Jessica; Gray, Gilliann ...
The American journal of occupational therapy,
08/2020, Letnik:
74, Številka:
S1
Journal Article
Recenzirano
PURPOSE: The cosmetology profession is defined by continuous precise fine motor movements. Beauticians, estheticians, and cosmetologists perform tasks that place them at risk for upper extremity ...injuries (Demiryurek & Gundogdu, 2017). Cumulative trauma disorder (CTD) is a condition that causes injuries to various parts of the musculoskeletal system due to repeatedly overusing or putting stress on one of the following: joints, muscles, tendons, ligaments, nerves, and/or blood vessels. Repetitive stress injury (RSI), overuse syndrome, and repetitive motion disorders are other terms associated with CTDs (Schmidler, 2018). The US Occupational Safety and Health Administration (OSHA) reports that over 600,000 injuries and illnesses, and 34% of lost workdays are related to work-related musculoskeletal disorders. The U.S. Bureau of Labor Statistics (2016) reported that, in 2015, the primary injury category for workers who missed work consisted of sprains, strains, and tears; 37% of the cases reported were in this category, totaling 421,610 days away from work. This study was designed to investigate the lived experience and causes of chronic upper extremity injuries in cosmetology professionals, due to work-related tasks and the limited scope of research on this topic. This is an area begging for occupational therapy's attention. DESIGN: This is a narrative qualitative study. Participants were cosmetologists who were recruited from a private Facebook community of cosmetologists with permission from its owner, and other relevant social media platforms. Participants were individuals who were 18 and older, who self-identify as employed in the cosmetology industry. METHOD: Following IRB approval, participants reported data on a survey of open-ended questions housed on Qualtrics. A recruitment link was posted on several social media sites geared towards cosmetologists. Participants acknowledged consent on the screen prior to taking survey. The survey consisted of three questions that inquired about job related tasks they do physically, movements they do repetitively, and the degree of pain and comfort which interfered with work, outside of work, and sleep. The research team used content analysis to analyze data. Four researchers coded themes through an iterative, deductive process, and an experienced qualitative researcher reviewed developed themes. Multiple researchers and data collection from multiple sources ensured rigor, triangulation, and trustworthiness of the data. RESULTS: 42 females and 3 males attempted this survey. Saturation was reached at participant 10. The participants ranged in age from 18-52 years. The voice of cosmetologists report they experience pain in multiple parts of the body that results from repetitive movements and extended physical positions. Participants reported a wide range of physical tasks they must complete throughout the day. Some expressed the need for preventative strategies. CONCLUSION: Occupational therapists can use job analysis to develop strategies to meet the needs of cosmetologists by modifying and adapting the environment, as well as providing other strategies to decrease pain and improve function. Education and advocacy can promote wellness and injury prevention in the workplace. IMPACT STATEMENT: Scant literature exists on injury prevention and pain in cosmetologists. Cosmetologists report a variety of tasks/body positions in their workday. Occupational therapy is a powerful means to improve the lives of cosmetologists by focusing on their work tasks, body positions, and their environment.
Extreme cold and heat have been linked to an increased risk of occupational injuries. However, the evidence is still limited to a small number of studies of people with relatively few injuries and ...with a limited geographic extent, and the corresponding economic effect has not been studied in detail.
We assessed the relationship between ambient temperatures and occupational injuries in Spain along with its economic effect.
The daily number of occupational injuries that caused at least one day of leave and the daily maximum temperature were obtained for each Spanish province for the years 1994-2013. We estimated temperature-injuries associations with distributed lag nonlinear models, and then pooled the results using a multivariate meta-regression model. We calculated the number of injuries attributable to cold and heat, the corresponding workdays lost, and the resulting economic effect.
The study included 15,992,310 occupational injuries. Overall, 2.72% 95% confidence interval (CI): 2.44-2.97 of all occupational injuries were attributed to nonoptimal ambient temperatures, with moderate heat accounting for the highest fraction. This finding corresponds to an estimated 0.67 million (95% CI: 0.60-0.73) person-days of work lost every year in Spain due to temperature, or an annual average of 42 d per 1,000 workers. The estimated annual economic burden is €370 million, or 0.03% of Spain's GDP (€2,015).
Our findings suggest that extreme ambient temperatures increased the risk of occupational injuries, with substantial estimated health and economic costs. These results call for public health interventions to protect workers in the context of climate change. https://doi.org/10.1289/EHP2590.
Background
The advent of Virtual Reality technologies presents new opportunities for enhancing current surgical practice. Studies suggest that current techniques in endoscopic surgery are prone to ...disturbance of a surgeon’s visual-motor axis, influencing performance, ergonomics and iatrogenic injury rates. The Microsoft
®
HoloLens is a novel head-mounted display that has not been explored within surgical innovation research. This study aims to evaluate the HoloLens as a potential alternative to conventional monitors in endoscopic surgery.
Materials and methods
This prospective, observational and comparative study recruited 72 participants consisting of novices (
n
= 28), intermediate-level (
n
= 24) and experts (
n
= 20). Participants performed ureteroscopy, within an inflatable operating environment, using a validated training model and the HoloLens mixed-reality device as a monitor. Novices also completed the assigned task using conventional monitors; whilst the experienced groups did not, due to their extensive familiarity. Outcome measures were procedural completion time and performance evaluation (OSATS) score. A final evaluation survey was distributed amongst all participants.
Results
The HoloLens facilitated improved outcomes for procedural times (absolute difference, − 73 s; 95% CI − 115 to − 30;
P
= 0.0011) and OSAT scores (absolute difference, 4.1 points; 95% CI 2.9–5.3;
P
< 0.0001) compared to conventional monitors. Feedback evaluation demonstrated 97% of participants agreed or strongly agreed that the HoloLens will have a role in surgical education (mean rating, 4.6 of 5; 95% CI 4.5–4.8). Furthermore, 95% of participants agreed or strongly agreed that the HoloLens is feasible to introduce clinically and will have a role within surgery (mean rating, 4.4 of 5; 95% CI 4.2–4.5).
Conclusion
This study demonstrates that the device facilitated improved outcomes of performance in novices and was widely accepted as a surgical visual aid by all groups. The HoloLens represents a feasible alternative to the conventional setup, possibly by aligning the surgeon’s visual-motor axis.
Firearm-related injury is an important and preventable cause of death and disability. We describe the burden, baseline characteristics and regional rates of firearm-related injury and death in ...Ontario.
We conducted a population-based cross-sectional study using linked data from health administrative data sets held at ICES. We identified residents of Ontario of all ages who were injured or died as a result of a firearm discharge between Apr. 1, 2002, and Dec. 31, 2016. We included injuries classified as assault, unintentional, self-harm or undetermined intent secondary to handguns, rifles, shotguns and larger firearms. The primary outcome was the incidence of nonfatal and fatal injuries resulting in an emergency department visit, hospital admission or death. We also describe regional and temporal rates.
We identified 6483 firearm-related injuries (annualized injury rate 3.54 per 100 000 population), of which 2723 (42.3%) were fatal. Assault accounted for 40.2% (1494/3715) of nonfatal injuries and 25.5% (694/2723) of deaths. Young men, predominantly in urban neighbourhoods, within the lowest income quintile were overrepresented in this group. Injuries secondary to self-harm accounted for 68.0% (1366/2009) of injuries and occurred predominantly in older men living in rural Ontario across all income quintiles. The case fatality rate of injuries secondary to self-harm was 91.7%. Self-harm accounted for 1842 deaths (67.6%).
We found that young urban men were most likely to be injured in firearm-related assaults and that more than two-thirds of self-harm-related injuries occurred in older rural-dwelling men, most of whom died from their injuries. This highlights a need for suicide-prevention strategies in rural areas targeted at men aged 45 or older.
Through sustainable development goals 3 and 8 and other policies, countries have committed to protect and promote workers' health by reducing the work-related burden of disease. To monitor progress ...on these commitments, indicators that capture the work-related burden of disease should be available for monitoring workers' health and sustainable development. The World Health Organization and the International Labour Organization estimate that only 363 283 (19%) of 1 879 890 work-related deaths globally in 2016 were due to injuries, whereas 1 516 607 (81%) deaths were due to diseases. Most monitoring systems focusing on workers' health or sustainable development, such as the global indicator framework for the sustainable development goals, include an indicator on the burden of occupational injuries. Few such systems, however, have an indicator on the burden of work-related diseases. To address this gap, we present a new global indicator: mortality rate from diseases attributable to selected occupational risk factors, by disease, risk factor, sex and age group. We outline the policy rationale of the indicator, describe its data sources and methods of calculation, and report and analyse the official indicator for 183 countries. We also provide examples of the use of the indicator in national workers' health monitoring systems and highlight the indicator's strengths and limitations. We conclude that integrating the new indicator into monitoring systems will provide more comprehensive and accurate surveillance of workers' health, and allow harmonization across global, regional and national monitoring systems. Inequalities in workers' health can be analysed and the evidence base can be improved towards more effective policy and systems on workers' health.
We advance a multistakeholder framework that highlights the influence of stakeholders in tempering short-termist responses to capital market pressures. When firms face pressure from short sellers in ...the capital market, they sometimes shift attention to short-term stock performance and neglect critical investments that pay off in the long run. Relying on a quasi-natural experiment and establishment-level data on workplace injuries, we find that short-selling pressure causes an increase in employee injuries. Critically, however, the degree to which the response is short-termist depends on the salience of multiple stakeholders (analysts, shareholders, employees, and managers). We discuss the implications for understanding firms' relations with their stakeholders and, particularly, how these stakeholders influence corporate responses to capital market pressures in ways that matter for long-term value creation. This study also contributes to strategy research by highlighting the downside of capital market deregulation.
PDF
