scholarly journals P156 Myositis flares are associated with reduced work productivity and fewer hours worked: illustration of the future potential of digital healthcare solutions in rheumatic diseases

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Jacob C Williams ◽  
Alexander G S Oldroyd ◽  
William G Dixon ◽  
Hector Chinoy
Keyword(s):  
Rheumatic Diseases ◽  
Work Productivity ◽  
Work Hours ◽  
Categorical Variables ◽  
Hours Worked ◽  
Supported Work ◽  
The Impact ◽  
Detrimental Impact ◽  
Digital Healthcare ◽  
Weekly Work

Abstract Background/Aims  The digital healthcare revolution provides the opportunity for clinicians and researchers to collect useful data on a frequent and remote basis. Work ability is impacted by many rheumatic diseases, including the idiopathic inflammatory myopathies (IIMs), however, methods to assess the real-time impacts are limited. This study aims to explore the impact of IIM flares and symptoms upon employment using frequently collected data via a smartphone-based app. Methods  The Myositis Physical Activity Device Study recruited a UK-based adult IIM cohort who completed weekly employment and flare questions via a specially designed smartphone-based app throughout a 91 day period in 2019/20. Employment-related questions were assessed every week (see Table 1 for details). Flares were reported via a weekly question. Employment variables were compared between flare and non-flare weeks using descriptive statistics. The relationship between flares and work productivity was assessed using multi-level mixed effects logistic regression modelling, adjusted for age and sex. Results  Data on 13 (69% female) employed participants was analysed. A median of 5 flares were reported per patient during the three month period (IQR 3, 9). Summary employment results are displayed in Table 1. Participants reported greater impact of IIM upon employment, lower productivity and fewer hours worked during a flare week, compared to a non-flare week. There was a significant association between flares and detrimental impact upon work productivity (odds ratio [OR] 1.07, 95% confidence interval [CI] 1.03, 1.12, p < 0.01). Flares were also significantly associated with an increased number of work hours missed due to IIM (OR 1.04, 95% CI 1.01, 1.08, p = 0.02) P156 Table 1:- Summary employment parameters compared between flare and non-flare weeksEmployment parameterAnswer formatWhole study period (159 weeks)Flare weeks (60 weeks)Non-flare weeks (99 weeks)p-value*Number of weeks’ work productivity affected by IIM (%)Dichotomous - “yes”, “no”54 (34.0)33 (55.0)21 (21.2)<0.01Mean effect of IIM upon work productivity (SD)Visual analogue scale - “Myositis had no effect on work" (0);“Myositis completely prevented me from working” (100)29.8 (28.8)46.2 (33.3)19.9 (20.0)<0.01Mean number of scheduled work hours per week per participant (SD)Numerical33.2 (15.8)36.9 (19.33)31.0 (13.0)<0.01Mean number of hours worked per week per participant (SD)Numerical23.5 (15.1)18.86 (17.1)26.23 (13.2)<0.01Proportion of hours worked per week per participant / % (SD)Calculated by research team73.7 (38.7)55.9 (43.2)84.7 (31.1)<0.01Mean number of hours of weekly work missed due to IIM per participant (SD)Numerical6.6 (16.6)14.9 (23.4)1.5 (6.6)<0.01Proportion of hours of weekly work missed due to IIM per participant / % (SD)Calculated by research team12.7% (29.5)29.2 (41.1)2.6 (10.0)<0.01SD = standard deviation *Categorical variables were compared using the Chi-squared test and continuous variables compared using the student t-test. Conclusion  Our study has demonstrated that IIM flares are significantly associated with detrimental impact upon employment ability. On average, patients lost 15 hours of work a week during a flare compared to less than 2 hours outside a flare. The economic and personal impact of flares highlights the need for research in this area, with the aim of allowing early identification and instigation of treatment and possible need for supported work. Smartphone based remote monitoring of flares and other pertinent variables could enhance digital consultations, which may become more common in the post COVID-19 setting. Disclosure  J.C. Williams: None. A.G.S. Oldroyd: None. W.G. Dixon: None. H. Chinoy: None.

Student Debt and Labor Market Outcomes

2019 ◽  
Vol 109 ◽  
pp. 171-175 ◽  
Author(s):  
Gerald Eric Daniels ◽  
Andria Smythe
Keyword(s):  
Labor Market ◽  
Labor Market Outcomes ◽  
Student Loan ◽  
Work Hours ◽  
Student Debt ◽  
Market Outcomes ◽  
Hours Worked ◽  
The Difference ◽  
The Impact

We study the impact of student debt on various labor market outcomes, namely, income, hourly wages, and hours worked. Using the NLSY97 and a difference-indifference approach, we find statistically significant differences in labor market outcomes for individuals who received a student loan versus those who received no student loan. We find that the difference in post- versus pre-college income is 8-9 percent higher for individuals that received a student loan relative to individuals who received no student loan. Further, we find evidence that this higher income is due to higher work hours.

scholarly journals Added Worker Effect Revisited: The “Aubry’s Law” in France as a Natural Experiment

2016 ◽  
Vol 8 (1) ◽  
pp. 102
Author(s):  
Meherun Ahmed
Keyword(s):  
Labor Supply ◽  
Empirical Research ◽  
Low Income ◽  
Natural Experiment ◽  
Spillover Effects ◽  
Work Hours ◽  
Alternative Source ◽  
Hours Worked ◽  
Added Worker Effect ◽  
The Impact

<p>The Added Worker Effect (AWE) refers to an increase in the labor supply of secondary earners in a household in response to a decrease in the income of the primary earner. Most empirical research on the AWE has focused on increases in the labor force participation of married women when their husbands experience unemployment spells, but recent government-mandated decreases in standard hours in several European countries provide an alternative source of exogenous decreases in the work hours of married men. Empirical research in evaluating the effectiveness of such policy, mostly investigated the impact on the workers who were directly affected by the policy. A model of household decision making suggests that work hour restrictions without full wage compensation should have spillover effects on the labor supply of other household members, but little is known about this possible spillover effect. This is the first attempt which empirically investigates the existence of AWE using mandatory reduction in standard working hours in France (<em>Aubry’s Law 1998</em>) as a natural experiment. The results show that the exogenous reduction in standard work hours for husbands does not lead to any unemployment to employment transition of wives but increases the number of hours worked by wives who are already in the market and are not affected by the law themselves. It is also found that in terms of hours worked, AWE is more prominent in low income families and for families with more members as family size is positively correlated with the degree of credit constraint.</p>

scholarly journals Interactions between care-giving and paid work hours among European midlife women, 1994 to 1996

2003 ◽  
Vol 23 (1) ◽  
pp. 41-68 ◽  
Author(s):  
C. KATHARINA SPIESS ◽  
A. ULRIKE SCHNEIDER
Keyword(s):  
Labour Force ◽  
Work Hours ◽  
Northern Europe ◽  
Paid Work ◽  
Care Givers ◽  
Care Giving ◽  
Northern European ◽  
Significant Relationships ◽  
The Impact ◽  
Weekly Work

This paper uses data from the European Community Household Panel surveys of 1994 and 1996 to study the association between changes in care-giving and changes in weekly work hours. Our sample comprises women aged 45–59 years who participated in the labour force in at least one of the two years studied. Controlling for country variation, we find significant relationships between starting or increasing informal care-giving and changes in weekly work hours. No such association is found however among women terminating a care-giving commitment or reducing their care hours. Starting care-giving significantly reduces work hours for women in northern European countries (except Ireland). By contrast, women in southern Europe and Ireland respond to an increase in care-giving hours by a smaller increase or a higher decrease in work hours than non care-givers. In summary, our results show that the impact of care-giving on adjustments of weekly work hours is asymmetrical and that it differs in southern and northern Europe.

scholarly journals Mediating Factor of Emotional Intelligence in Intercultural Competence and Work Productivity of Volunteers

2019 ◽  
Vol 11 (9) ◽  
pp. 2625 ◽  
Author(s):  
Jolita Vveinhardt ◽  
Rita Bendaraviciene ◽  
Ingrida Vinickyte
Keyword(s):  
Emotional Intelligence ◽  
Empirical Research ◽  
Research Methodology ◽  
Intercultural Competence ◽  
Work Productivity ◽  
Intercultural Education ◽  
Structured Interviews ◽  
Mediating Factor ◽  
The Impact

Volunteering, the volunteer’s intercultural competence and emotional intelligence contribute to intercultural education and sustainability in various societies of today. The aim of this study was to analyse the impact of emotional intelligence and intercultural competence on work productivity of volunteers. The first part of the article substantiates theoretical associations between emotional intelligence, intercultural competence and work productivity. Based on theoretical insights, empirical research methodology was prepared, which consisted of four categories divided into sub-categories that provided the structure of the question groups. The empirical research involved seven informants working in Lithuania, who welcomed volunteers from abroad. The research was conducted using the method of semi-structured interviews. The conclusions present a systematic perspective towards the role of emotional intelligence in the intercultural competence and work productivity of volunteers. In this context, emotional intelligence works as a mediating factor. The contributing role of volunteer-receiving organisations in the development of the volunteers’ emotional intelligence is also highlighted.

scholarly journals 288. Follow-Up Blood Cultures in Gram-Negative Bacteremia: How Do They Impact Outcomes

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S144-S144
Author(s):  
Azza Elamin ◽  
Faisal Khan ◽  
Ali Abunayla ◽  
Rajasekhar Jagarlamudi ◽  
aditee Dash
Keyword(s):  
Clinical Outcomes ◽  
Antibiotic Treatment ◽  
Readmission Rate ◽  
Blood Cultures ◽  
Categorical Variables ◽  
Gram Negative ◽  
Number Of Patients ◽  
Significant Difference ◽  
The Impact

Abstract Background As opposed to Staphylococcus. aureus bacteremia, there are no guidelines to recommend repeating blood cultures in Gram-negative bacilli bacteremia (GNB). Several studies have questioned the utility of follow-up blood cultures (FUBCs) in GNB, but the impact of this practice on clinical outcomes is not fully understood. Our aim was to study the practice of obtaining FUBCs in GNB at our institution and to assess it’s impact on clinical outcomes. Methods We conducted a retrospective, single-center study of adult patients, ≥ 18 years of age admitted with GNB between January 2017 and December 2018. We aimed to compare clinical outcomes in those with and without FUBCs. Data collected included demographics, comorbidities, presumed source of bacteremia and need for intensive care unit (ICU) admission. Presence of fever, hypotension /shock and white blood cell (WBC) count on the day of FUBC was recorded. The primary objective was to compare 30-day mortality between the two groups. Secondary objectives were to compare differences in 30-day readmission rate, hospital length of stay (LOS) and duration of antibiotic treatment. Mean and standard deviation were used for continuous variables, frequency and proportion were used for categorical variables. P-value &lt; 0.05 was defined as statistically significant. Results 482 patients were included, and of these, 321 (67%) had FUBCs. 96% of FUBCs were negative and 2.8% had persistent bacteremia. There was no significant difference in 30-day mortality between those with and without FUBCs (2.9% and 2.7% respectively), or in 30-day readmission rate (21.4% and 23.4% respectively). In patients with FUBCs compared to those without FUBCs, hospital LOS was longer (7 days vs 5 days, P &lt; 0.001), and mean duration of antibiotic treatment was longer (14 days vs 11 days, P &lt; 0.001). A higher number of patients with FUBCs needed ICU care compared to those without FUBCs (41.4% and 25.5% respectively, P &lt; 0.001) Microbiology of index blood culture in those with and without FUBCs Outcomes in those with and without FUBCs FUBCs characteristics Conclusion Obtaining FUBCs in GNB had no impact on 30-day mortality or 30-day readmission rate. It was associated with longer LOS and antibiotic duration. Our findings suggest that FUBCs in GNB are low yield and may not be recommended in all patients. Prospective studies are needed to further examine the utility of this practice in GNB. Disclosures All Authors: No reported disclosures

scholarly journals 49 A Quality Improvement Project to Assess and Refine the Handover Process at Morning Trauma Meetings

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Sadiq ◽  
M Tahir ◽  
I Nur ◽  
S Elerian ◽  
A Malik
Keyword(s):  
Categorical Variables ◽  
Next Of Kin ◽  
Chi Square ◽  
Neck Of Femur ◽  
Improvement Project ◽  
Handover Process ◽  
Neck Of Femur Fracture ◽  
The Impact ◽  
Standard Operating Protocol

Abstract Introduction Poor handover between shifts can result in patient harm. This study was designed to evaluate the impact of implementing a handover protocol on the quality of information exchanged in the trauma handover meetings in a UK hospital. Method A prospective single-centre observational study was performed at an NHS Trust. Ten consecutive weekday trauma meetings, involving 43 patients, were observed to identify poor practices in handover. This data was used in conjunction with the Royal College of Surgeons’ recommendations for effective handover (2007) to create and implement a standard operating protocol (SOP). Following its implementation, a further 8 consecutive meetings, involving a further 47 patients, were observed. The data was analysed using t-test for quantitative variables and chi-square or Fisher’s exact tests for categorical variables. Results An improvement was demonstrated in multiple aspects of trauma handover including past medical history, injury date, results, diagnosis, consent, mark, and starvation status (all p &lt; 0.001). Subgroup analyses showed that handover of neck-of-femur fracture patients including information on baseline mobility (p = 0.04), Nottingham-Hip-Fracture Score (p = 0.01), next-of-kin discussion (p = 0.075) and resuscitation status (p = 0.001) all improved following the intervention. Conclusions These results demonstrate that the implementation of a well-structured handover protocol can improve the transmission of critical information in trauma meetings.

scholarly journals OP0082-PARE THE EFFECT COVID-19 HAS ON THE MENTAL HEALTH OF PEOPLE LIVING WITH RHEUMATIC DISEASES. FROM DATA TO INTERVENTIONS.

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 44-45
Author(s):  
S. Mingolla ◽  
A. Celano ◽  
M. Santopietro
Keyword(s):  
Mental Health ◽  
Rheumatic Diseases ◽  
Rare Diseases ◽  
Psychological Impact ◽  
Well Being ◽  
Total Sample ◽  
Support Service ◽  
Health Condition ◽  
National Association ◽  
The Impact

Background:Covid-19 has had an important impact on the mental health conditions of over 5 million Italians suffering from one of the over 150 rheumatic diseases. In order to understand the psychological impact of the Covid-19 emergency and the restrictions imposed to counter it, the Italian National Association of People with Rheumatic and Rare Diseases – APMARR APS launched the research “Living with a rheumatic pathology”.Objectives:Gather data directly from Italian patients about the impact of the COVID-19 and consequent restrictions on their mental health and feelings; evaluate the most effective intervention to be implemented to face the pandemic by Patients organization.Methods:A qualitative-quantitative survey was carried out through a questionnaire administered throughout the national territory to a sample of N = 1,001 people. The people invited to complete the questionnaire were women (55,9%) and men (44,1%), aged 18-85 years (age 18-41=26,7%; age 42-65=64%; age >65=9,3%) with at least one rheumatic pathology. The questionnaire was made up of 39 questions, of which 29 were closed and 10 were open. For the administration of the questionnaires, the CAWI (Computer Aided Web Interview) methodology of on-line survey was used. The 1,001 interviews were carried out from 7 to 14 August 2020.Results:More than 4 out of 10 people (total sample 44.2%; male 60%, female 35,7%; age 18-41=39,1%; age 42-65=45,9%; age >65 = 50%) declared that the emergency period has somehow caused a worsening of their health condition. People declared that the deterioration of their health is due to the emergency period for the following reasons: 1) Psychological: such as stress and anxiety: “Too much stress and anxiety made the symptoms worse.”; “The stress of the quarantine affected my problem”; “Insomnia. Nervousness. General ailments. Depression. Strong stress” 2) Inability to perform physiotherapy and motor activities due to the lockdown 3) Postponement of examinations, visits and checks 4) remote working, in some cases described as harmful for people’s mental and physical health: “Due to Covid19 I had to do remote working and I worked even 12 hours a day including holidays to the detriment of my family life”.Furthermore, from January 31, 2020 a significant increase emerged in communication problems with rheumatology specialist compared to the period before the emergency due to Covid-19. The sharp increase may be due to the situation of severe psychological stress to which also the doctors were subjected in the emergency phase: people could not find the comfort of being empathically listened to.Conclusion:The research shows that the most frequent symptoms among people with rheumatic diseases were depression and high levels of anxiety due to strong emotional stress. Psychological malaise caused direct effects in worsening the symptoms of rheumatic disease as well as other related effects, for example, insomnia. The forced isolation due to the lockdown has made people lack the social support that is fundamental for the psychological well-being especially for those suffering from some chronic pathology. Starting from the data collected, APMARR promptly activated a completely free psychological support service with 6 professional psychologists, two of them specialized in emergency psychology. The service is accessible online and is still going on for all who are not able to overcome the anxiety and fear related to the pandemic and its evolution. Thousands of accesses to the service have been measured to date.References:S Mingolla1, A Celano1, M Santopietro2[1]NATIONAL ASSOCIATION OF PEOPLE WITH RHEUMATIC AND RARE DISEASES - APMARR APS[2]WeResearch. Ricerche di marketingDisclosure of Interests:None declared

scholarly journals The Impact of Work Hours on Depressive Symptoms among Koreans Aged 45 and Over

2021 ◽  
Vol 18 (3) ◽  
pp. 853
Author(s):  
Juyeong Kim ◽  
Eun-Cheol Park
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Services ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Work Hours ◽  
Middle Aged ◽  
Health Studies ◽  
Males And Females ◽  
The Impact

Background: Given the documented importance of employment for middle-aged and older adults’ mental health, studies of the association between their number of work hours and depressive symptoms are needed. Objectives: To examine the association between the number of work hours and depressive symptoms in Korean aged 45 and over. Methods: We used data from the first wave to fourth wave of the Korea Longitudinal Study of Aging. Using the first wave at baseline, data included 9845 individuals. Depressive symptoms were measured using the 10-item Center for Epidemiological Studies Depression scale. We performed a longitudinal analysis to estimate the prevalence of depressive symptoms by work hours. Results: Both unemployed males and females aged 45–65 years were associated with higher depressive symptoms (β = 0.59, p < 0.001; β = 0.32, p < 0.001). Females working ≥ 69 h were associated with higher depressive symptoms compared to those working 41–68 h (β = 0.25, p = 0.013). Among those both middle-aged and older adults, both males and females unemployed were associated with higher depressive symptoms. Those middle-aged female working ≥69 h were associated with higher depressive symptoms. Conclusions: An increase in depressive symptoms was associated with unemployed males and females working ≥69 h compared to those working 41–68 h. Although this association was found among middle-aged individuals, a decrease in depressive symptoms in both sexes was associated with working 1–40 h. Depressive symptoms should decrease by implementing employment policies and social services to encourage employers to support middle-aged and older adults in the workforce considering their sex and age differences.

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