Work-related olfactory disorder: a case series and review

Background:Patients who suffer of obsessive-compulsive disorder (OCD) experience obsessive thoughts and/or urges to engage in compulsive behaviours. the condition causes severe discomfort and, in many cases, leads to serious impairment in social and work-related functioning.Although antipsychotic monotherapy has been associated with ineffectiveness and even increase of psychotic symptoms (especially in psychotic patients), antipsychotics as adjuvant to antidepressant medication have proven to be effective in several case series and pilot clinical trials.The objective of this case was to evaluate the effectiveness of clomipramine-quetiapine combination in OCD refractory to serotonin selective reuptake inhibitors treatment patient.Method:23 years unemployed male was diagnosed with OCD after 1 year from onset and received 3 trials with serotonin selective reuptake inhibitors at therapeutical doses, without any improvement and even more with worsening of affective associated symptoms. We managed this case by using a tricyclic antidepressant (clomipramine up to 100 mg/day) with an atypical antipsychotic (quetiapine up to 200 mg/day). We employed the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive-Compulsive Checklist (OCC) and Hamilton Depression rating Scale (HDRS) at baseline, weekly for the first 2 months and monthly after (follow up 2 years).Results:Patient achieved a very fast and sustained improvement both in obsessive-compulsive and affective symptoms, which provided a very good social and work rehabilitation.Conclusion:Clomipramine-quetiapine combination may be a benefit for OCD refractory to serotonin selective reuptake inhibitors and a safe strategy.

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Lightning Injury: Changi Hospital Experience

Hong Kong Journal of Emergency Medicine ◽

10.1177/102490790301000404 ◽

2003 ◽

Vol 10 (4) ◽

pp. 223-232 ◽

Cited By ~ 1

Author(s):

HH Tan ◽

SH Goh

Keyword(s):

Life Support ◽

Significant Proportion ◽

Case Series ◽

Weather Conditions ◽

Disease Diagnosis ◽

Prolonged Treatment ◽

Work Related ◽

Lightning Injuries ◽

Case Series Study ◽

Lightning Injury

Introduction Lightning injury is a major concern in Singapore, which has one of the highest incidences of lightning activity in the world. This study examined the frequency and type of lightning injuries that presented to an Accident and Emergency (A&E) department situated in the east of Singapore to identify the groups at risk and the spectrum of injuries sustained. Materials and methods This is a case series study with a sample size of 24. Cases that were seen in the A&E department of Changi General Hospital from July 1997 to June 2002 with the International Classification of Disease diagnosis code of E907 for lightning injury were collected and analyzed. Results In our study, 83% lightning injuries were work-related and 79% occurred in those below 40 years old. In the work-related category, a significant proportion occurred at the airport (45%) with most of the incidents occurring while working near or in contact with the aircraft (7 out of 9). The other major proportion occurred at construction sites (40%) with a significant number of cases occurring while in contact with cranes (6 out of 8). There was one telephone-related injury. In the non-work related incidents, two out of four occurred while playing golf. Most of the injuries (87.5%) were minor with no long-term morbidity. There was one death and one critical case requiring cardiopulmonary resuscitation. The latter survived and recovered quite remarkably. One patient had serious depression requiring prolonged treatment. Conclusion Precaution should be taken during lightning-prone weather conditions in workplaces that involve large metal structures like cranes and aircrafts and in open space. This also applies to recreational sports like golf. Lightning injury, though rare, is not uncommon and emergency room doctors should be conversant with the treatment of this condition and its complications. Immediate basic and advanced cardiac life support administered to a lightning casualty who collapsed can be life saving.

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Outcome of Expedited Rotator Cuff Surgery in Injured Workers: Determinants of Successful Recovery

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967117705319 ◽

2017 ◽

Vol 5 (5) ◽

pp. 232596711770531 ◽

Cited By ~ 8

Author(s):

Helen Razmjou ◽

Dragana Boljanovic ◽

Sandra Lincoln ◽

Richard Holtby ◽

Stephen Gallay ◽

...

Keyword(s):

Rotator Cuff ◽

Access To Care ◽

Case Series ◽

Injured Workers ◽

Work Status ◽

Shoulder Injuries ◽

Work Related ◽

Successful Recovery ◽

The Impact ◽

Rotator Cuff Surgery

Background: Work-related rotator cuff injuries are a common cause of disability and employee time loss. Purpose: To examine the effectiveness of expedited rotator cuff surgery in injured workers who underwent rotator cuff decompression or repair and to explore the impact of demographic, clinical, and psychosocial factors in predicting the outcome of surgery. Study Design: Case series; Level of evidence, 4. Methods: Injured workers who were seen at a shoulder specialty program and who underwent expedited arthroscopic rotator cuff decompression or repair were observed for a period of 6 to 12 months based on their type of surgery and recovery trajectory. The primary outcome measure was the American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment Form. The impact of surgery was assessed by whether the change in the ASES score exceeded the minimal clinically important difference (MCID) of 17 points. Secondary outcomes were range of motion (ROM), medication consumption, and work status. Results: One hundred forty-six patients (43 women [29%], 103 men [71%]; mean age, 52 years; SD, 8 years) completed the study. Sixty-seven (46%) patients underwent rotator cuff repair. The mean time between the date the patient consented to have surgery and the date of surgery was 82 (SD, 44) days. There was a statistically significant improvement in ASES score and ROM and work status (52 returned to regular duties and 59 to modified duties) ( P < .0001). Eighty-four percent (n = 122) of patients exceeded the MCID of 17 points. Individual factors that affected patient overall disability were preoperative ASES, work status prior to surgery, access to care, and autonomy at work. Achieving a minimal clinically meaningful change was influenced by perceived access to care, autonomy and stress at work, and overall satisfaction with the job. Conclusion: Expedited rotator cuff surgery improved disability, ROM, and work status in injured workers. Successful recovery after work-related shoulder injuries may further be facilitated by improving the psychosocial work environment and increasing access to care.

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Treatment of COVID-19-Related Olfactory Disorder Promoted by Kakkontokasenkyushin’i: A Case Series

The Tohoku Journal of Experimental Medicine ◽

10.1620/tjem.254.71 ◽

2021 ◽

Vol 254 (2) ◽

pp. 71-80

Author(s):

Shin Takayama ◽

Ryutaro Arita ◽

Rie Ono ◽

Natsumi Saito ◽

Satoko Suzuki ◽

...

Keyword(s):

Case Series ◽

Olfactory Disorder

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Epidemiology of ocular trauma hospital presentations in Sydney, Australia: insights for management and prevention

Asian Journal of Ophthalmology ◽

10.35119/asjoo.v13i4.170 ◽

1970 ◽

Vol 13 (4) ◽

pp. 151-161

Author(s):

Georgina C Clark ◽

Trent M Sandercoe ◽

Somsak Lertsumitkul ◽

Magdalena Guzowski ◽

Peter J McCluskey

Keyword(s):

Ocular Trauma ◽

Care Delivery ◽

Care Center ◽

Tertiary Care ◽

Case Series ◽

Tertiary Care Center ◽

Work Related ◽

Visual Deficit ◽

Open Globe ◽

Open Globe Injuries

Aim: To facilitate care delivery and injury prevention by investigating the nature and outcomes of ocular trauma presentations to a tertiary care center serving an estimated 1.3 million people. Patients and methods: This is an observational case series, retrospectively analyzed, of all patients that presented to the tertiary care center for management of ocular trauma between 01/01/2006-31/12/2006. Data collected included: patient’s clinical findings, major diagnoses, initial and final visual acuity, whether the injury was work related, whether protective eyewear was worn, and whether the patient required surgery or admission to hospital. A final BCVA < 6/12 was defined as significant visual deficit. Eligible patients were identified prospectively by researchers. Patients underwent standardized clinical assessment. De-identified clinical data was entered into a Microsoft Access database retrospectively and analyzed by separate, blinded researchers. Descriptive statistical analysis was then performed in Microsoft Excel. Analysis based on an ordinal regression model and risk factor analysis was performed in SAS.Results: There were 214 cases of ocular trauma in 197 individuals (17 bilateral injuries). Patients were mostly male (83%) with average age 35. The majority of cases were closed globe injuries (92.1%) with no significant final visual deficit (88.3%). Open globe injuries (7.9%) were more likely to have visual deficit (i.e., 47% with final BCVA < 6/12) (p < 0.01). In total, 13.1% required surgery and 12.1% required admission to hospital. Eye protection was worn in 7.9% of all cases, and 19.1% of work related cases. Nearly one quarter of cases (22.4%) were work related. Open globe injuries were more likely to occur at work. Open globe injuries at work were caused by a metal projectile in 85.7% of cases. Thirty percent of workers suffered a burn, with final BCVA < 6/12 in 10% of burns.Conclusions: While the vast majority of ocular trauma is superficial with low morbidity, trauma persists as a significant cause of visual impairment. Most vision impairing injuries occur at work, where metal projectiles and burns are common, preventable causes of significant vision loss, which could be targeted in prevention efforts.

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Surveillance of work-related asthma including the emergence of a cannabis-associated case series in Washington State

Journal of Asthma ◽

10.1080/02770903.2021.1955379 ◽

2021 ◽

pp. 1-17

Author(s):

Carolyn Reeb-Whitaker ◽

Claire R. LaSee ◽

David K. Bonauto

Keyword(s):

Case Series ◽

Washington State ◽

Work Related

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Antidepressant use and work-related injuries

Psychological Medicine ◽

10.1017/s0033291715002925 ◽

2016 ◽

Vol 46 (7) ◽

pp. 1391-1399 ◽

Cited By ~ 1

Author(s):

A. Kouvonen ◽

J. Vahtera ◽

J. Pentti ◽

M. J. Korhonen ◽

T. Oksanen ◽

...

Keyword(s):

Confidence Interval ◽

Rate Ratio ◽

Injury Risk ◽

Selective Serotonin Reuptake Inhibitors ◽

Antidepressant Treatment ◽

Case Series ◽

Work Related ◽

Work Related Injury ◽

Increased Risk ◽

Antidepressant Use

BackgroundAdverse effects of antidepressants are most common at the beginning of the treatment, but possible also later. We examined the association between antidepressant use and work-related injuries taking into account the duration of antidepressant use.MethodAntidepressant use and work-related injuries between 2000 and 2011 were measured among 66 238 employees (mean age 43.8 years, 80% female) using linkage to national records (the Finnish Public Sector study). We analysed data using time-dependent modelling with individuals as their own controls (self-controlled case-series design).ResultsIn 2238 individuals who had used antidepressants and had a work-related injury during a mean follow-up of 7.8 years, no increase in the risk of injury was observed in the beginning of antidepressant treatment. However, an increased injury risk was seen after 3 months of treatment (rate ratio, compared with no recent antidepressant use, 1.27, 95% confidence interval 1.10–1.48). This was also the case among those who had used only selective serotonin reuptake inhibitors (n = 714; rate ratio 1.41, 95% confidence interval 1.08–1.83).ConclusionsAntidepressant use was not associated with an increased risk of work-related injury at the beginning of treatment. Post-hoc analyses of antidepressant trials are needed to determine whether long-term use of antidepressants increases the risk of work-related injury.

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Radioscapholunate Fusion for Radiocarpal Osteoarthritis: Prognostic Factors of Clinical and Radiographic Outcomes

Journal of Wrist Surgery ◽

10.1055/s-0039-1688939 ◽

2019 ◽

Vol 08 (06) ◽

pp. 456-462

Author(s):

Benjamin Degeorge ◽

David Montoya-Faivre ◽

François Dap ◽

Gilles Dautel ◽

Bertrand Coulet ◽

...

Keyword(s):

Prognostic Factors ◽

Case Series ◽

Functional Results ◽

Level Of Evidence ◽

Work Related ◽

Radiographic Osteoarthritis ◽

Radiographic Outcomes ◽

Clinical Pain ◽

Radioscapholunate Fusion

Abstract Background Radioscapholunate (RSL) fusion is a surgical option to manage radiocarpal osteoarthritis. Many authors upgrade the procedure by adding distal scaphoid excision with or without excision of the triquetrum. Our objective was to identify the prognostic factors for good clinical and radiographic outcomes of RSL arthrodesis. Purpose Distal scaphoid excision improves both scaphotrapeziotrapezoidal osteoarthritis and radiocarpal fusion, and excision of the triquetrum is not critical to achieving satisfactory outcomes. Methods In this retrospective and bicentric investigation, all wrists were managed with RSL fusion for posttraumatic radiocarpal osteoarthritis. A total of 85 patients were included and evaluated at the revision by clinical (pain, wrist motion, and strength), functional (Disabilities of the Arm, Shoulder, and Hand questionnaire, Patient-Related Wrist Evaluation score, and Modified Mayo Wrist Score), and radiological (scaphotrapeziotrapezoidal, midcarpal osteoarthritis, and radiocarpal nonunion) examinations. We assessed prognostic factors for clinical and radiographic (osteoarthritis and nonunions) outcomes. Results The average follow-up was 9.1 years (1–21.4). Work-related accidents adversely impacted the clinical outcomes, and distal scaphoid excision significantly improved them and decreased scaphotrapeziotrapezoidal osteoarthritis and nonunion. Neither distal scaphoid excision nor excision of the triquetrum influenced midcarpal osteoarthritis. Radiocarpal fusion was significantly promoted by memory staples and bone grafting. Discussion Distal scaphoid excision should be preferred to improve the functional results while decreasing scaphotrapeziotrapezoidal osteoarthritis and radiocarpal nonunion rates. Excision of the triquetrum appears to be an alternative to radioulnar resection–arthroplasty to solve ulnocarpal impaction syndrome. Strict surgical procedure must be observed to promote RSL fusion combining solid bone fixation and the use of bone graft. Level of evidence This is a level IV, case series, retrospective series.

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