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[Relation of the incidence of pain of the lumbar spine and the type of occupation].

An analysis of the frequency of pathologic changes and the occurrence of pain of the lumbar spine in persons representing such professions as grinders, welders, smiths and office workers has been made. It has been found that the frequency of occurrence of pain syndrome of the lumbar spine in the group of grinders and smiths was from 2 to 2.5 times higher than in other analysed-groups.

Adult↗

[Effect of social status on occupational reintegration after lumbar discotomy].

QUESTION: The influence of non somatic factors, especially the social status of the patients' profession on postoperative reintegration following lumbar discectomy is investigated. METHODS: In 511 patients postoperative loss of working time and time till return-to-work after lumbar discectomy were investigated. Patients were interviewed by questionnaire at an average of 7.6 years postoperatively. RESULTS: Patients returned to work at an average of 10.5 weeks after operation. Looking at the social status of the patients we found an average time of 5.4 weeks until return to full work for self employed people. Civil servants took on average 10.2 weeks and regular employees returned to work after 14.0 weeks. The longest time to return to work was seen in workers with 17.2 weeks. Somatic risk factor profile for nucleus pulposus prolaps was identical in the group of self employed and employees. There was a different risk profile in the other two groups. CONCLUSION: We could show a correlation between the length of the return-to-work period and long-term clinical outcome with the social status of the patient. This correlation was most clearly shown in the group of self employed and employees. CLINICAL RELEVANCE: For judgement of the postoperative rehabilitation period, the social status may indicate the pain level and duration of pain that has to be expected.

Absenteeism↗

Venous insufficiency in male workers with a standing profession. Part 2: diurnal volume changes of the lower legs.

BACKGROUND: Chronic venous insufficiency (CVI) occurs frequently in the occupational population but is often not recognized. OBJECTIVE: To evaluate leg volume measurements in the detection of CVI. INTERVENTIONS: The lower leg volume was measured in 81 males with CVI and a standing occupation, at the beginning and end of 2 full working days using an optical leg volume meter. RESULTS: A volume increase of over 50 ml was found in 60% of the legs. The mean volume change was +2.6% in legs with minor CVI and +3.6% in legs with major CVI. A high volume change was associated with a tired feeling and pain in the legs. In the detection of CVI, the predictive value of volume measurements was 71%, and in combination with a questionnaire 83%. CONCLUSION: A volume increase of the lower legs in the course of the day was common and associated with subjective complaints of the legs. As a predictor of CVI, isolated volume measurements were ineffective because an overlap was present with the distribution of volume changes in healthy workers.

Adult↗

Increasing minority representation in the health professions.

Research indicates that health disparities may be reduced by increasing the number of ethnic minorities working in health occupations. Establishing health career pathway programs for immigrant and ethnic minority students is one way to address this problem. One such program, Cross-Cultural Education in Public Health (CCEPH), was developed, implemented, and evaluated to determine whether participants expressed greater interest in pursuing health care careers after program completion. A sample of 72 immigrant students in two high schools participated in the program, which was based on Bandura's theory of self-efficacy. Data were gathered using pre- and postprogram surveys that measured academic self-efficacy and career consideration. Results for academic efficacy were not statistically significant, but interest level in health care careers rose substantially. Although further research needs to be conducted to determine whether such programs increase self-efficacy, programs such as CCEPH can increase the consideration of health careers among immigrant and ethnic minority students.

Adolescent↗