scholarly journals Analysis of Musculoskeletal Complaints Road Sweepers Balikpapan City

2020 ◽  
Vol 12 (1) ◽  
pp. 53
Author(s):  
L.M. Zainul Zainul ◽  
Maslina Maslina ◽  
Komeyni Rusba ◽  
Marlina Marlina
Keyword(s):  
Musculoskeletal Complaints

ABSTRAK Berbagai macam faktor bahaya maupun risiko yang dapat mempengaruhi keselamatan maupun kesehatan pekerja penyapu jalan, diantaranya adalah keluhan musculoskeletal dalam melakukan pekerjaaan menyapu jalan. Penelitian untuk mengetahui kelelahan musculoskeletal penyapu jalan. Jenis penelitian adalah deskriptif kualitatif dengan rancangan crossectional. Keluhan yang dominan dirasakan pekerja adalah sakit pada kaki kiri dan sakit pada kaki kanan 10,24%, selanjutnya yaitu keluhan sakit pada pinggang sebanyak 8,27%, sakit punggung, sakit pada lutut kiri dan sakit pada lutut kanan sebanyak 5,12%, sakit pada lengan atas kiri dan sakit pada lengan atas kanan sebesar 4,72%, sakit pada betis kiri dan sakit pada betis kanan sebesar 4,33%, sakit/kaku di leher bagian atas, sakit pada bahu kanan dan sakit pada lengan bawah kiri sebanyak 3,94%, sakit pada bahu kiri dan sakit pada tangan kanan  sebanyak 3,54%, sakit/kaku di leher bagian bawah dan sakit pada paha kiri sebanyak 3,15%, sakit pada lengan bawah kanan sebanyak 2,76%, sakit pada tangan kiri dan sakit pada paha kanan sebanyak 1,97%, sakit pada bokong sebanyak 1,57%, sakit pada pergelangan tangan kiri sebanyak 1,18%, sakit pantat dan sakit pada pergelangan tangan kanan sebanyak 0,79%, dan sakit siku kiri, sakit siku kanan, sakit pada pergelangan kaki kiri serta sakit pada pergelangan kaki kanan sebanyak 0,39%.  

scholarly journals OP0147 RHEUMATIC? - A DIGITAL DIAGNOSTIC DECISION SUPPORT TOOL FOR INDIVIDUALS SUSPECTING RHEUMATIC DISEASES: A MULTICENTER VALIDATION STUDY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 87.1-88
Author(s):  
R. Knevel ◽  
J. Knitza ◽  
A. Hensvold ◽  
A. Circiumaru ◽  
T. Bruce ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Support ◽  
Rheumatic Disease ◽  
Rheumatic Diseases ◽  
Receiver Operating Curve ◽  
Musculoskeletal Complaints ◽  
Immune Mediated ◽  
Diagnostic Decision ◽  
Ocean Observations ◽  
Receiver Operating

Background:Digital diagnostic decision support tools promise to accelerate diagnosis and increase health care efficiency in rheumatology. Rheumatic? is an online tool developed by specialists in rheumatology and general medicine together with patients and patient organizations for individuals suspecting a rheumatic disease.1,2 The tool can be used by people suspicious for rheumatic diseases resulting in individual advise on eventually seeking further health care.Objectives:We tested Rheumatic? for its ability to differentiate symptoms from immune-mediated diseases from other rheumatic and musculoskeletal complaints and disorders in patients visiting rheumatology clinics.Methods:The performance of Rheumatic? was tested using data from 175 patients from three university rheumatology centers covering two different settings:A.Risk-RA phase setting. Here, we tested whether Rheumatic? could predict the development of arthritis in 50 at risk-individuals with musculoskeletal complaints and anti-citrullinated protein antibody positivity from the KI (Karolinska Institutet)B.Early arthritis setting. Here, we tested whether Rheumatic? could predict the development of an immune-mediated rheumatic disease in i) EUMC (Erlangen) n=52 patients and ii) LUMC (Leiden) n=73 patients.In each setting, we examined the discriminative power of the total score with the Wilcoxon rank test and the area-under-the-receiver-operating-characteristic curve (AUC-ROC).Results:In setting A, the total test score clearly differentiated between individuals developing arthritis or not, median 245 versus 163, P < 0.0001, AUC-ROC = 75.3 (Figure 1). Also within patients with arthritis the Rheumatic? total score was significantly higher in patients developing an immune-mediated arthritic disease versus those who did not: median score EUMC 191 versus 107, P < 0.0001, AUC-ROC = 79.0, and LUMC 262 versus 212, P < 0.0001, AUC-ROC = 53.6.Figure 1.(Area under) the receiver operating curve for the total Rheumatic? scoreConclusion:Rheumatic? is a web-based patient-centered multilingual diagnostic tool capable of differentiating immune-mediated rheumatic conditions from other musculoskeletal problems. A following subject of research is how the tool performs in a population-wide setting.References:[1]Knitza J. et al. Mobile Health in Rheumatology: A Patient Survey Study Exploring Usage, Preferences, Barriers and eHealth Literacy. JMIR mHealth and uHealth. 2020.[2]https://rheumatic.elsa.science/en/Acknowledgements:This project has received funding from EIT Health. EIT Health is supported by the European Institute of Innovation and Technology (EIT), a body of the European Union that receives support from the European Union’s Horizon 2020 Research and Innovation program.This project has received funding from the Innovative Medicines Initiative 2 Joint Undertaking under grant agreement No 777357, RTCure.Disclosure of Interests:Rachel Knevel: None declared, Johannes Knitza: None declared, Aase Hensvold: None declared, Alexandra Circiumaru: None declared, Tor Bruce Employee of: Ocean Observations, Sebastian Evans Employee of: Elsa Science, Tjardo Maarseveen: None declared, Marc Maurits: None declared, Liesbeth Beaart- van de Voorde: None declared, David Simon: None declared, Arnd Kleyer: None declared, Martina Johannesson: None declared, Georg Schett: None declared, Thomas Huizinga: None declared, Sofia Svanteson Employee of: Elsa Science, Alexandra Lindfors Employee of: Ocean Observations, Lars Klareskog: None declared, Anca Catrina: None declared

scholarly journals Office work and stretch training (OST) study: effects on the prevalence of musculoskeletal diseases and gender differences: a non-randomised control study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e044453
Author(s):  
Fabian Holzgreve ◽  
Laura Fraeulin ◽  
Jasmin Haenel ◽  
Helmut Schmidt ◽  
Andreas Bader ◽  
...  
Keyword(s):  
Musculoskeletal Diseases ◽  
Workplace Health Promotion ◽  
Intervention Group ◽  
Subjective Health ◽  
Office Workers ◽  
Secondary Outcome ◽  
Full Time ◽  
Office Work ◽  
Musculoskeletal Complaints ◽  
Control Study

ObjectivesFor the prevention of musculoskeletal diseases (MSDs), stretch training can be a measure of the workplace health promotion (WHP) for office workers. This can lead to an increase in mobility and, ultimately, reduce or prevent MSD. The aim of the study was to examine a standardised and individualised stretch training on a device, specifically ‘five Business’, for the prevalence of MSD.DesignThis study is a non-randomised control study.SettingWHP programme with clerical employees of a German car manufacturer.Participants252 (110 women; 142 men) subjects (median age of 44 (X∼ 21 years) finished the study successfully. Inclusion criteria included a full-time employment in the office workplace and subjective health.InterventionThe intervention group completed 22–24 training units of 10 min each on the ‘five-Business’ device two times a week for 12 weeks.Primary and secondary outcome measuresData were collected in the form of a pre–post study Nordic Questionnaire.ResultsAfter the intervention, significantly fewer subjects reported pain in the area of the neck (−17.79), shoulder (−11.28%), upper back (−14.7%), lower back (−12.78%) and feet (−8.51%). The gender analysis revealed that women are, in general, more often affected by musculoskeletal complaints than men, especially in the neck (+29.5%) and feet (+15.03%). Both sexes had significant reductions of MSD in the most commonly affected regions. Thus, 27.12% less women reported having neck pain, while 13.14% less men reported having low back pain.ConclusionsThe results suggest that a stretching programme performed for 3 months can reduce musculoskeletal complaints in the most commonly affected areas in office workers. Both men and women benefited from the stretch training to a similar extent, suggesting that this would be a promising measure for therapy and prevention as part of WHP.

scholarly journals Advances in the diagnosis and the management of primary hyperparathyroidism

2021 ◽  
Vol 12 ◽  
pp. 204062232110159
Author(s):  
Ana Kashfia Islam
Keyword(s):  
Renal Function ◽  
Parathyroid Hormone ◽  
Bone Loss ◽  
Primary Hyperparathyroidism ◽  
Kidney Stones ◽  
Parathyroid Glands ◽  
Definitive Treatment ◽  
Indications For Surgery ◽  
Musculoskeletal Complaints ◽  
Parathyroid Cancer

The parathyroid glands, one of the last organs to be discovered, are responsible for maintaining calcium homeostasis, and they continue to present the clinician with diagnostic and management challenges that are reviewed herein. Primary hyperparathyroidism (PHPT) comprises the vast majority of pathology of the parathyroid glands. The classic variant, presenting with elevated calcium and parathyroid hormone levels, has been studied extensively, but the current body of literature has added to our understanding of normocalcemic and normohormonal variants of PHPT, as well as syndromic forms of PHPT. All variants can lead to bone loss, kidney stones, declining renal function, and a variety of neurocognitive, gastrointestinal, and musculoskeletal complaints, although the majority of PHPT today is asymptomatic. Surgery remains the definitive treatment for PHPT, and advances in screening, evolving indications for surgery, new imaging modalities, and improvements in intra-operative methods have greatly changed the landscape. Surgery continues to produce excellent results in the hands of an experienced parathyroid surgeon. For those patients who are not candidates for surgery, therapeutic advances in medical management allow for improved control of the hypercalcemic state. Parathyroid cancer is extremely rare; the diagnosis is often made intra-operatively or on final pathology, and recurrence is common. The mainstay of treatment is normalization of serum calcium via surgery and medical adjuncts.

scholarly journals Rheumatic Manifestations in Patients Treated with Immune Checkpoint Inhibitors

2020 ◽  
Vol 21 (9) ◽  
pp. 3389 ◽  
Author(s):  
Konstantinos Melissaropoulos ◽  
Kalliopi Klavdianou ◽  
Alexandra Filippopoulou ◽  
Fotini Kalofonou ◽  
Haralabos Kalofonos ◽  
...  
Keyword(s):  
Lupus Erythematosus ◽  
Immune Checkpoint ◽  
Inflammatory Arthritis ◽  
Immune Checkpoint Inhibitors ◽  
Antitumor Immunity ◽  
Checkpoint Inhibitors ◽  
Musculoskeletal Complaints ◽  
Moderate Severity ◽  
Rheumatic Manifestations ◽  
New Onset

Immune checkpoint inhibitors (ICIs) are monoclonal antibodies that activate the immune system, aiming at enhancing antitumor immunity. Their clinical efficacy is well-documented, but the side effects associated with their use are still under investigation. These drugs cause several immune-related adverse events (ir-AEs), some of which stand within the field of rheumatology. Herein, we present a literature review performed in an effort to evaluate all publicly available clinical data regarding rheumatic manifestations associated with ICIs. The most common musculoskeletal ir-AEs are inflammatory arthritis, polymyalgia rheumatica and myositis. Non-musculoskeletal rheumatic manifestations are less frequent, with the most prominent being sicca, vasculitides and sarcoidosis. Cases of systemic lupus erythematosus or scleroderma are extremely rare. The majority of musculoskeletal ir-AEs are of mild/moderate severity and can be managed with steroids with no need for ICI discontinuation. In severe cases, more intense immunosuppressive therapy and permanent ICI discontinuation may be employed. Oncologists should periodically screen patients receiving ICIs for new-onset inflammatory musculoskeletal complaints and seek a rheumatology consultation in cases of persisting symptoms.

Psychosocial and Ergonomic Factors, and Their Relation to Musculoskeletal Complaints in the Swedish Workforce

2010 ◽  
Vol 16 (3) ◽  
pp. 311-321 ◽  
Author(s):  
Kurt Wahlstedt ◽  
Dan Norbäck ◽  
Gunilla Wieslander ◽  
Leni Skoglund ◽  
Roma Runeson
Keyword(s):  
Musculoskeletal Complaints

SAT0572 Screening for PSA in Primary Care Psoriasis Patients with Musculoskeletal Complaints with Pest, Pase & Earp

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 867.3-868
Author(s):  
M. Karreman ◽  
A. Weel ◽  
M. van der Ven ◽  
M. Vis ◽  
I. Tchetverikov ◽  
...  
Keyword(s):  
Primary Care ◽  
Musculoskeletal Complaints

Rheumatic Diseases of Childhood

1988 ◽  
Vol 10 (6) ◽  
pp. 183-190
Author(s):  
Robert M. Rennebohm
Keyword(s):  
Rheumatoid Arthritis ◽  
Adverse Effects ◽  
Juvenile Rheumatoid Arthritis ◽  
Chief Complaint ◽  
Musculoskeletal Complaints ◽  
Joint Symptoms ◽  
Rheumatic Conditions ◽  
Inflammatory Drugs ◽  
Systematic Collection ◽  
Age And Sex

The pediatrician frequently encounters children and adolescents with musculoskeletal complaints that raise the possibility of rheumatic disease. The purposes of this article are: to review an approach to the evaluation of "joint" symptoms and to review the pharmacology, use, and adverse effects of nonsteroidal anti-inflammatory drugs. RHEUMATOLOGIC HISTORY Systematic collection of the historical details is fundamental in the evaluation of "joint" complaints (Table 1). Age and Sex The child's age and sex provide initial clues. For example, suspicion that a young girl (less than 5 years of age) with knee swelling might have monoarticular juvenile rheumatoid arthritis is heightened simply because of her age and sex. (At onset of their disease, almost 20% of all patients with juvenile rheumatoid arthritis are young girls with pauciarthritis, most commonly involving the knee.) Suspicion that an older boy (10 years of age or older) with axioskeletal complaints might have an enthesopathy syndrome is increased, in part, because of his age and sex. of the age and sex predilections of various rheumatic conditions is, therefore, helpful. Chief Complaint The chief complaint is often directive. For example, the complaint "his knees hurt every night" or "his legs hurt at night" is not characteristic of children who have juvenile rheumatoid arthritis or other well-defined inflammatory arthritides.

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