scholarly journals Musculoskeletal Complaints in Occupational Therapists Compared to the General Population: A Cross-Sectional Study in Germany

2020 ◽  
Vol 17 (14) ◽  
pp. 4916
Author(s):  
Ronny Zenker ◽  
Maria Girbig ◽  
Janice Hegewald ◽  
Irina Gilewitsch ◽  
Mandy Wagner ◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
Occupational Therapists ◽  
Cross Sectional Study ◽  
Physical Factors ◽  
Musculoskeletal Complaints ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lower Back ◽  
Increased Risk ◽  
The Impact

Occupational therapists (OTs) are exposed to physical factors at work, which can lead to an increased risk of musculoskeletal disorders. Most studies examining musculoskeletal complaints in OT report that the neck, shoulders, and lower back are most often afflicted. The aim of the present study was to examine the impact of work as an OT (focusing on specific work tasks) on specific musculoskeletal complaints compared to the general working population. A cross-sectional study involving a self-administered standardized questionnaire was conducted from January until October 2015 in Germany. In OT and the comparison group, the highest 12-month prevalence of musculoskeletal disorders were observed for the lower back, the neck, and the shoulders. In contrast, elevated prevalence ratios (PR) were found for OT in the thumbs (PR = 2.7; 95% CI = 1.9–3.8), the wrists (PR = 1.4; 95% CI = 1.1–1.8), and the elbows (PR = 1.5; 95% CI = 1.0–2.2). OTs were particularly exposed to high exertion hand activity and several stressful postures at work. In conclusion, OTs seem to be at risk of developing work-related musculoskeletal complaints in the thumbs, wrists, and elbows. Preventive measures should help to reduce the exposures caused by highly repetitive and forceful hand activities.

Novice therapists in a developing context: Extending the reach of hand rehabilitation

Hand Therapy ◽  
2017 ◽  
Vol 22 (4) ◽  
pp. 141-152
Author(s):  
Kirsty van Stormbroek ◽  
Helen Buchanan
Keyword(s):  
Response Rate ◽  
Occupational Therapists ◽  
Cross Sectional Study ◽  
First Year ◽  
Sectional Study ◽  
Hand Rehabilitation ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Rehabilitation Needs ◽  
The Impact

Introduction Hand rehabilitation needs in some parts of the world extend beyond the impact of specialised hand therapists. This study aimed to establish what hand rehabilitation services novice occupational therapists in South Africa were providing; the supports and barriers for such services; and, therapists’ perceptions of being equipped for hand rehabilitation. Methods A descriptive cross-sectional study was conducted, and an online questionnaire was sent to all occupational therapists in their first year of practice (n = 240). Data were analysed with Stata 12 and IBM SPSS Statistics, version 21.0. Responses to open ended questions were post-coded. Results A 43.3% response rate was obtained. Participants (n = 104) treated an average of 20 clients requiring hand rehabilitation per month often without adequate equipment (73%). Central nervous system (91.3%), bone and joint (72.8%) and arthritic conditions (72.4%) were treated most frequently. Most participants felt confident (64%) and competent (79%) in hand rehabilitation. Conclusion Participants were undertaking hand rehabilitation that in other contexts is considered to require specialised skills. To ensure quality rehabilitation, supervision and mentoring of novice therapists and appropriate professional development opportunities are required.

scholarly journals Impact of single and combined rare diseases on adult inpatient outcomes: a retrospective, cross-sectional study of a large inpatient population

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Reka Maria Blazsik ◽  
Patrick Emanuel Beeler ◽  
Karol Tarcak ◽  
Marcus Cheetham ◽  
Viktor von Wyl ◽  
...  
Keyword(s):  
Rare Disease ◽  
Rare Diseases ◽  
Cross Sectional Study ◽  
Hospital Death ◽  
Sectional Study ◽  
Cross Sectional ◽  
Inpatient Outcomes ◽  
Increased Risk ◽  
Icd 10 ◽  
The Impact

Abstract Background Little is known about the impact of rare diseases on inpatient outcomes. Objective To compare outcomes of inpatients with 0, 1, or > 1 rare disease. A catalogue of 628 ICD-10 coded rare diseases was applied to count rare diseases. Design Retrospective, cross-sectional study. Subjects 165,908 inpatients, Swiss teaching hospital. Main measures Primary outcome: in-hospital mortality. Secondary outcomes: length of stay (LOS), intensive care unit (ICU) admissions, ICU LOS, and 30-day readmissions. Associations with single and combined rare diseases were analyzed by multivariable regression. Key results Patients with 1 rare disease were at increased risk of in-hospital death (odds ratio [OR]: 1.80; 95% confidence interval [CI]: 1.67, 1.95), combinations of rare diseases showed stronger associations (OR 2.78; 95% CI 2.39, 3.23). Females with 1 rare disease had an OR of 1.69 (95% CI 1.50, 1.91) for in-hospital death, an OR of 2.99 (95% CI 2.36, 3.79) if they had a combination of rare diseases. Males had an OR of 1.85 (95% CI 1.68, 2.04) and 2.61 (95% CI 2.15, 3.16), respectively. Rare diseases were associated with longer LOS (for 1 and > 1 rare diseases: increase by 28 and 49%), ICU admissions (for 1 and > 1: OR 1.64 [95% CI 1.57, 1.71] and 2.23 [95% CI 2.01, 2.48]), longer ICU LOS (for 1 and > 1 rare diseases: increase by 14 and 40%), and 30-day readmissions (for 1 and > 1: OR 1.57 [95% CI 1.47, 1.68] and 1.64 [95% CI 1.37, 1.96]). Conclusions Rare diseases are independently associated with worse inpatient outcomes. This might be the first study suggesting even stronger associations of combined rare diseases with in-hospital deaths, increased LOS, ICU admissions, increased ICU LOS, and 30-day readmissions.

scholarly journals The Impact of Resting Heart Rate and Hypertension on the Prevalence of Stroke in Sudanese Adults: A Population- Based Cross Sectional Study

2021 ◽  
pp. 165-175
Author(s):  
D. A. Hassan ◽  
M. I. Elamin ◽  
M. Elamin ◽  
H. M. Beheiry ◽  
A. A. Abdalla ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Resting Heart Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Increased Risk ◽  
The Impact

Aims: To investigate the effect of elevated resting heart rate (RHR), hypertension (HTN) and associated risk factors on the prevalence of stroke among Sudanese adults.  Study Design: This is a cross-sectional study based on a survey conducted by Sudanese society of hypertension during the May Month of Measurement (MMM), 2018 campaign. Methods: A total of 12281 respondents (mean age: 32.5±14.5 years, 49% men) were included. Structured questionnaires of demographic data, and self-reported medical history were filled by all respondents and analyzed.  Blood pressure and RHR were measured using an Omron BP monitor. Participants were divided into two main cohorts: normotensive (n=9497, 77.3%) and hypertensive (n=2784, 22.7%) participants. Each cohort was then segregated into three sub-cohorts using RHR tertiles (T1: <79 bpm; T2: RHR: 79 to 100 bpm; and T3:>100 bpm). Results: Multivariate logistic regression analyses were performed to assess the individual and combined effect of RHR and HTN on prevalence of stroke. Hypertensive patients were more likely to develop stroke compared to normotensive participants (OR= 2. 968, 95% CI 2.028-4.345). Within the hypertensive cohort, RHR T3 participants had a significantly increased risk of stroke compared to RHR T1-T2 combined (OR= 2.35, 95% CI1.043-5.323). Individuals of RHR T3 sub-cohort were more likely to be younger, leaner and displayed significantly higher level of both systolic & diastolic blood pressure compared to RHR T1 and T2 groups. Diabetes Mellitus and smoking increased the odds of stroke among both normotensives (OR (95% CI):5.6 (2.24- 14.09), 3.17 (1.71-6.08 respectively), and hypertensives (OR (95% CI): 4.40 (2.26-8.58), 2.03 (0.95-4.32) respectively). Female gender and older age also increases the odds of stroke among hypertensives (OR (95% CI): 1.85 (1.00- 3.45) and 2.00 (1.02- 4.17) respectively.   In conclusion, this study demonstrated that HTN was an independent risk factor of stroke. The effect of elevated RHR on stroke was only prominent when joined to high blood pressure. Prevalence of tachycardia was higher among the young participants which make them more prone to stroke if the condition is associated with HTN. Our results highlight the importance of addressing elevated RHR to reduce the risk of stroke particularly among hypertensive patients.  

scholarly journals Musculoskeletal Disorders among Dentists in Northwest area of the state of São Paulo, Brazil

2017 ◽  
Vol 15 (3) ◽  
pp. 190 ◽  
Author(s):  
Ana Carolina da Graça Fagundes Freire ◽  
Gabriella Barreto Soares ◽  
Tânia Adas Saliba Rovida ◽  
Cléa Adas Saliba Garbin ◽  
Artênio José Ísper Garbin
Keyword(s):  
Musculoskeletal Disorders ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Occupational Factors ◽  
Work Related ◽  
Lower Back ◽  
Occupational Characteristics ◽  
High Prevalence ◽  
Nordic Musculoskeletal Questionnaire

Objective: To determine the prevalence of musculoskeletal disorders in dentists who attend postgraduate courses in various specialties and establish possible relationships with sociodemographic and occupational factors. Methodology: This is a cross-sectional study where 91 professionals responded to validated instruments: “Work-related activities that may contribute to job-related pain and / or injury” and NMQ “Nordic Musculoskeletal Questionnaire”, and variables were also collected regarding sociodemographic and occupational characteristics. Results: WMSDs were often reported in the neck, shoulder, lower/upper back, and hand/wrists. Logistic regression analysis revealed that there was a correlation between reports of WMSD in lower back and work related (OR=13.40). Moreover, associations were found between WMSDs and the occupational factors that can contribute to musculoskeletal disorders. Conclusion: There was a high prevalence of musculoskeletal disorders among brazilian dentists, and that the work-related activities contributed to musculoskeletal disorders in dentists.

scholarly journals What is the impact of husband’s education on unintended pregnancies in southern Ethiopia? A cross-sectional study

2019 ◽  
Author(s):  
Canaan Negash Seifu ◽  
Paul Patrick Fahey ◽  
Tewodros Getachew Hailemariam ◽  
Evan Atlantis
Keyword(s):  
Family Planning ◽  
Unintended Pregnancy ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Unintended Pregnancies ◽  
Increased Risk ◽  
The Impact

Abstract Background: Unintended pregnancy rates are substantially higher in developing regions, have significant health consequences, and disproportionately affect subgroups with socio-economic disadvantage. We aimed to examine if husband’s education is associated with their wife’s unintended pregnancy in southern Ethiopia. Methods: The data source for this study was from a cross-sectional study on iron-folate supplementation and compliance in Wolaita, South Ethiopia. Data were collected from 627 married pregnant women regarding their husband’s educational status, socio-demographic characteristics and if they wanted to become pregnant at the time of survey using an interviewer administered questionnaire. Odds Ratios (ORs) with associated z-tests and 95% confidence intervals and logistic regression analyses were used to identify variables associated with unintended pregnancy. Results: The proportion of unintended pregnancy was 20.6% in this study with husband’s educational status, age, residence, and using family planning methods predictive of unintended pregnancy (all P-values <0.05). In the multivariable regression analysis, the odds of having unintended pregnancy was 60% lower (adjusted OR (95%CI; 0.4(0.18, 0.9)) when husband’s had University or College education compared to no education was after controlling for the age of women (adjusted OR per year older (95%CI); 1.13(1.09, 1.19)) and rural or urban residence (adjusted OR for rural (95%CI); 1.75(0.98, 3.12)) Conclusion: Unintended pregnancies were highest for women with less educated husbands in southern Ethiopia. We also found that being older and living in rural area were independently associated with an increased risk of unintended pregnancy. Strategies for addressing the family planning needs of families where husbands have less education should be the subject of future research.

Factors Associated with Insulin Resistance in Women with Migraine: A Cross-Sectional Study

Pain Medicine ◽  
2019 ◽  
Vol 20 (10) ◽  
pp. 2043-2050
Author(s):  
Selen Gur-Ozmen ◽  
Ruhan Karahan-Ozcan
Keyword(s):  
Insulin Resistance ◽  
Family History ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Increased Risk ◽  
History Of ◽  
The Impact

AbstractObjectiveStudies have shown a relationship between insulin resistance (IR) and migraine that is more evident in some migraineurs. Long-term use of various drugs and increased risk of diverse side effects is an unavoidable reality in this population of patients. Thus, in this study, we aimed to investigate factors associated with IR in migraine and the impact of chronic usage of various drugs, which might play a part in development of IR.DesignCross-sectional study.SettingGebze Fatih General Hospital, Kocaeli, Turkey.SubjectsMigraine patients (N = 150) were investigated.MethodsWeight, height, waist circumference, and blood pressure were measured. Fasting glucose, fasting insulin, glycated hemoglobin, and lipid profile were also measured. IR was selected as a dependent variable. The independent variables included age, cigarette smoking, alcohol consumption, family history of migraine, diabetes mellitus and hypertension, characteristics of pain, migraine triggers and subgroups, medication used during attack treatment, medication used as prophylactic treatment, and oral contraceptive treatment. Descriptive analysis and multivariate logistic regression were performed.ResultsCentral obesity (odds ratio [OR] = 7.131, 95% confidence interval [CI] = 2.451–20.741, P < 0.0001), metoclopramide treatment during an attack (OR = 3.645, 95% CI = 0.996–13.346, P = 0.041), family history of DM (OR = 3.109, 95% CI = 1.189–8.132, P = 0.035), nonsteroidal anti-inflammatory drug (NSAID) usage during an attack (OR = 2.578, 95% CI = 1.053–6.311, P = 0.043), and negative family history of hypertension (OR = 0.226, 95% CI = 0.085–0.602, P = 0.002) were significant factors for exhibiting IR in migraine.ConclusionsOur study demonstrates an association between metoclopramide and NSAID treatments and IR in migraine.

Frequency of Musculoskeletal Disorders in Non-Cystic Fibrosis Bronchiectasis Patients: Cross Sectional Study

2021 ◽  
Vol 15 (9) ◽  
pp. 2345-2346
Author(s):  
Abdul Mateen ◽  
Alishba Mustansar ◽  
Sajjid Mahmood ◽  
Waqas Latif ◽  
Talha Laique
Keyword(s):  
Cystic Fibrosis ◽  
Back Pain ◽  
Musculoskeletal Disorders ◽  
Knee Pain ◽  
Musculoskeletal Disorder ◽  
Cross Sectional Study ◽  
High Morbidity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lower Back

Background: Non-cystic fibrosis bronchiectasis (non-CF BE) is a common chronic lung disease thus causing high morbidity among adults. Aim: To investigate the frequency of musculoskeletal disorders in non-cystic fibrosis bronchiectasis among patients. Study Design: Cross sectional study. Methodology: Patients having non-cystic fibrosis bronchiectasis were included in present study through non-probability, convenient sampling technique. Nordic musculoskeletal questionnaire (NMQ) was used to study prevalence of Musculoskeletal Disorders. Patients of both sexes having age (18-40 yrs) were included. Patients having any disease like cystic fibrosis bronchiectasis, active neurological disorder, mental disorders and significant scoliosis or kyphosis were excluded. Data analyzed by SPSS 25.0v. Results: There are 37(24.3%) male and 115(75.7%) females in the present study. Almost 38.8% patients changed their profession while 88.2% were prevented from working due to musculoskeletal disorder during last 1 year. Around 83.6% patients had pain in lower back with knee pain, 27.6% had ankle pain, 34.2% had hip pain, while 57.2% had upper back pain during last 1 year. Conclusion: This study concluded that non-cystic fibrosis bronchiectasis patients had a high frequency of reported musculoskeletal disorders like 83.6% have lower back pain with knee pain. Thus frequency was high for low back pain as musculoskeletal disorder among enrolled subjects. Keywords: Frequency, Musculoskeletal Disorders and Bronchiectasis.

scholarly journals Multiple sclerosis is not associated with an increased risk for severe COVID-19: a nationwide retrospective cross-sectional study from Germany

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Daniel Richter ◽  
Simon Faissner ◽  
Dirk Bartig ◽  
Lars Tönges ◽  
Kerstin Hellwig ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Hospital Mortality ◽  
Large Scale ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Administrative Database ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Impact

Abstract Background Since the coronavirus disease 2019 (COVID-19) has risen, several risk factors have been identified, predicting a worse outcome. It has been speculated that patients with Multiple sclerosis (MS) have an increased risk for a severe course of COVID-19 due to a suspected higher vulnerability. Therefore, we aimed to analyze the impact of comorbid MS on the outcome of patients with COVID-19 in Germany. Methods We conducted a retrospective cross-sectional study using the administrative database of all hospitalized patients diagnosed with PCR-confirmed COVID-19 (n = 157,524) in Germany during 2020. The cohort was stratified according to the presence (n = 551) or absence (n = 156,973) of comorbid MS, including discrimination of MS subtypes. Primary outcome measures were admission to the intensive care unit (ICU), use of invasive or non-invasive ventilation, and in-hospital mortality. Differences were investigated using rates and odds ratios as estimates. Pooled overall estimates, sex-stratified estimates, age-group stratified estimates, and MS subtype stratified estimates were calculated for all outcomes under the random-effects model. Results Among 157,524 patients hospitalized with COVID-19, 551 had a concurrent MS diagnosis (0.3%). Overall, univariate analysis showed lower rates of ICU admission (17.1% versus 22.7%, p < 0.001), lower use of ventilation (9.8% versus 14.5%, p < 0.001) and lower in-hospital mortality (11.1% versus 19.3%, p < 0.001) among COVID-19 patients with comorbid MS. This finding was stable across the subgroup analysis of sex and MS subtype but was attenuated by age-stratification, confirming equal odds of in-hospital mortality between COVID-19 patients with and without MS (log OR: 0.09 [95% CI: − 0.40, 0.59]). Conclusions Although there might be differences in risk within the MS patients’ population, this large-scale nationwide analysis found no evidence for a worse outcome of COVID-19 in patients with comorbid MS compared to non-MS individuals.

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