Risk Factor Identification Occupational Health and Safety Medical Record Officer Filing Section in Hospital (Literature Review)

Background: Filing service is one of the medical record work units that responsible for the storage and maintenance of medical record files. Filing is one of the work units in medical records that are responsible for the storage and maintenance of medical record files. The work implementation process has risks that can threaten the safety and health of officers. Therefore, it can result in low quality of work. An attempt that can be performed to decrease the risk of accident is the implementation of good Occupational Health and Safety. Through several studies related to Occupational Health and Safety in Filing Unit, some of the factors causing work accidents are physical, chemical, biological, biomechanical factors related to ergonomics, individuals, and psychosocial, which causes the officers to feel unsafe and uncomfortable at work. Therefore, this study aims to identify what are the risk factors for occupational health and safety to medical record officers in the filing section at the hospital.Methods: The research method was qualitative research. The data collection used a literature study. The subjects of the study were medical record officers in the filing section, while the object of the study was occupational health and safety.Results: The results of the study, according to 10 journals reviewed, show that factors that become the risk to occupational health and safety of medical record officers in the filling section are lighting, air temperature, smells caused by old medical record files, virus exposure, medical record storage rack, awareness of using PPE, and work relationship between officers.Conclusions: It is expected that the hospital can improve work facilities and infrastructures, and the self-awareness of medical record officers to maintain safety and comfort at work is required so that a good and optimal working atmosphere can be created.

On elevation of intraocular pressure after intravitreal injections

The aim of this work is to emphasize the need to take into account several important biomechanical factors (biometrical parameters of patient, s eyes accuracy of tonometers) as well as the design of the procedure when interpreting clinical data of immediate IOP elevation after intravitreal injections

The influence of motor skills on the short sprint results

Background and Study Aim. The curriculum of physical education in high schools is based on learning motor skills, as well as their development in sports sections, where the 100-meter sprint dominates. The aim of the study was to determine the influence of motor skills on the 100 m running results. Material and Methods. The research was conducted on a sample of 80 high school students in Novi Pazar and Kraljevo, aged 16 and 17 years (± 6 months). 12 variables were used to assess motor skills, three variables each: explosive power, segmental speed, repetitive power, and flexibility (standing long jump), triple jump, five jumps. For estimating segmental speed: foot tapping, hand tapping, foot tapping on the wall. For the assessment of repetitive power: lifting the torso on the Swedish bench, mixed pull-ups, squats. To assess flexibility: deep bench press, twine, stick twist. Results. Results were obtained to confirm that there is a positive influence of motor skills on the 100 m sprint results at the level of (p=.000). The results in the 100 m sprints are statistically significantly dependent on the motor skills that manifest segmental speed and explosive power. Variables (standing long jump, foot tapping on the wall and foot tapping) have a statistically significant effect on the criterion variable of the 100 m sprint. Conclusions. Recommendation to future researchers would be to conduct a study over a longer period of time with the aim of examining the biomechanical factors that determine the success in sprint, is the production of force in the phase of sprint acceleration and sprint deceleration.

Sensitivity of a Subject-specific Ankle Sprain Simulation to Extrinsic Versus Intrinsic Biomechanical Factors

Ankle sprains are the most common musculoskeletal injury in sport and military activity, despite existing prophylactic strategies. The purpose of this report was to develop a probabilistic simulation of lateral ankle sprains during single-limb drop landing, towards accelerating innovation in ankle sprain prevention. A deterministic, subject-specific musculoskeletal model was extended with automation and probabilistic distributions on sprain-related biomechanical factors. Probabilistic simulations were generated using traditional Monte Carlo techniques and the advanced mean value method, a more computationally-efficient approach. Predicted distributions of peak ankle joint rotations, velocities, and moments borne by supporting passive structures agreed favorably with the deterministic model and with reports of real sprain biomechanics. Parameter sensitivities identified that predictions were most strongly influenced by drop height, subtalar joint posture at contact, invertor/evertor co-activation, and passive ankle stiffness. The advanced mean value method predicted confidence bounds comparable to a 1000-trial Monte Carlo simulation, and required only 14 model evaluations and 4-min processing time. The extended probabilistic simulation may be useful to virtually test new prophylactic strategies for ankle sprains, and is made available for open-source use (https://simtk.org/projects/sprain-sim).

Differences in femur geometry and bone markers in atypical femur fractures and the general population

This study aimed to identify differences in femur geometry between patients with subtrochanteric/shaft atypical femur fractures (AFFs) and the general population, and to evaluate the biomechanical factors related to femoral bowing in AFFs. We retrospectively reviewed 46 patients. Data on age, and history and duration of bisphosphonate use were evaluated. Femur computed tomography images were reconstructed into a 3D model, which was analyzed with a geometry analysis program to obtain the femur length, femur width and length, and femoral bowing. Patients were divided into two groups according to fracture location: the subtrochanteric and shaft AFF groups. We compared all parameters between groups, and also between each group and a general population of 300 women ≥ 60 years. Thirty-five patients had a history of bisphosphonate use (average duration, 6.1 years; range, 0.8–20 years). There was no statistical difference in bone turnover markers between the two groups. The shaft AFF group had a lower radius of curvature (ROC) (P = 0.001), lower bone mineral density (BMD, T score) (P = 0.020), and lower calcium (P = 0.016). However, other parameters and rate of bisphosphonate use were not significantly different. There were no significant differences in the parameters of the subtrochanter AFF group and the general population, but the shaft AFF group demonstrated a wider femur width (P < 0.001), longer anteroposterior length (P = 0.001), and lower ROC (P < 0.001) than the general population. Femoral bowing and width increased in shaft AFFs, but similar to subtrochanter AFFs compared to the general population. Our results highlight the biomechanical factors of femur geometry in AFFs.

Analysis of the Effect of Wearing Extensible and Non-Extensible Lumbar Belts on Biomechanical Factors of the Sit-to-Stand Movement and Pain-Related Psychological Factors Affecting Office Workers with Low Back Pain

This study aimed to investigate the effects of wearing extensible and non-extensible lumbar belt (LB) on biomechanical factors of the sit-to-stand (STD) movement and pain-related psychological factors affecting office workers with low back pain. Among 30 office workers, 15 with low back pain (LBP) were assigned to the experimental group and 15 healthy adults were assigned to the control group. The participants performed STD movement in random order of three different conditions: without LB (Condition 1), with extensible LB (Condition 2), and with non-extensible LB (Condition 3). Biomechanical variables of STD movement in each condition were measured using a three-dimensional motion analysis system and force plate. Pain-related psychological factors were measured only in the experimental group. Among the biomechanical factors of STD movement, an interaction effect was found in the maximum anterior pelvic tilt angle and total-phase range of motion of the trunk (p < 0.05). Pain intensity, pain-related anxiety, and pain catastrophizing were decreased in the conditions with lumbar belts (Conditions 2 and 3) compared to the condition without LB (Condition 1) (p < 0.05). Extensible and non-extensible lumbar belts engender biomechanically beneficial effects during STD movement in both office workers with LBP and healthy office workers. Further, pain intensity, pain-related anxiety, and pain catastrophizing were decreased in office workers with LBP. Therefore, both types of extensible lumbar belts may be helpful in the daily life of patients with LBP and office workers.

Effect of biochemical and biomechanical factors on vascularization of kidney organoid-on-a-chip

Kidney organoids derived from the human pluripotent stem cells (hPSCs) recapitulating human kidney are the attractive tool for kidney regeneration, disease modeling, and drug screening. However, the kidney organoids cultured by static conditions have the limited vascular networks and immature nephron-like structures unlike human kidney. Here, we developed a kidney organoid-on-a-chip system providing fluidic flow mimicking shear stress with optimized extracellular matrix (ECM) conditions. We demonstrated that the kidney organoids cultured in our microfluidic system showed more matured podocytes and vascular structures as compared to the static culture condition. Additionally, the kidney organoids cultured in microfluidic systems showed higher sensitivity to nephrotoxic drugs as compared with those cultured in static conditions. We also demonstrated that the physiological flow played an important role in maintaining a number of physiological functions of kidney organoids. Therefore, our kidney organoid-on-a-chip system could provide an organoid culture platform for in vitro vascularization in formation of functional three-dimensional (3D) tissues.