• Title/Summary/Keyword: Return to Work

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Outcomes of epidural steroids following percutaneous transforaminal endoscopic discectomy: a meta-analysis and systematic review

  • Song, Yinghao;Li, Changxi;Guan, Jingjing;Li, Cheng;Wu, Haisheng;Cheng, Xinzhi;Ling, Bingyu;Zhang, Jinglang
    • The Korean Journal of Pain
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    • v.35 no.1
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    • pp.97-105
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    • 2022
  • Background: Percutaneous transforaminal endoscopic discectomy (PTED) has been widely used in the treatment of lumbar degenerative diseases. Epidural injection of steroids can reduce the incidence and duration of postoperative pain in a short period of time. Although steroids are widely believed to reduce the effect of surgical trauma, the observation indicators are not uniform, especially the long-term effects, so the problem remains controversial. Therefore, the purpose of this paper was to evaluate the efficacy of epidural steroids following PTED. Methods: We searched PubMed, Embase, and the Cochrane Database from 1980 to June 2021 to identify randomized and non-randomized controlled trials comparing epidural steroids and saline alone following PTED. The primary outcomes included postoperative pain at least 6 months as assessed using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). The secondary outcomes included length of hospital stay and the time of return to work. Results: A total of 451 patients were included in three randomized and two non-randomized controlled trials. The primary outcomes, including VAS and ODI scores, did not differ significantly between epidural steroids following PTED and saline alone. There were no significant intergroup differences in length of hospital stay. Epidural steroids were shown to be superior in terms of the time to return to work (P < 0.001). Conclusions: Intraoperative epidural steroids did not provide significant benefits, leg pain control, improvement in ODI scores, and length of stay in the hospital, but it can enable the patient to return to work faster.

Defining a "Safe System of Work"

  • Caponecchia, C.;Wyatt, A.
    • Safety and Health at Work
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    • v.12 no.4
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    • pp.421-423
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    • 2021
  • Providing a "safe system of work" is the essence of the general duties that employers have to their employees under workplace health and safety regulations. Despite this, consistent and appropriate definition of what constitutes a safe system of work is almost non-existent. Available definitions tend to confuse a safe system of work with management practices intended to bring about a safe system, or conflate the broad system suggested in general duties clauses with procedures or work methods that are focused on particular hazards or tasks. This article develops a definition of safe systems of work which recognises the broad scope of the concept and includes psychological health and return to work processes. This definition can be used by a range of stakeholders to better communicate the scope of occupational health and safety duties and more consistently assess whether a safe system has been provided both before and after incidents occur.

Characteristics of the Electric Fields Produced by Multiple Lightning Return Strokes (다중 낙뢰에 의해서 발생한 전장 파형의 특성)

  • 이복희;정동철;이동문
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.53 no.6
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    • pp.330-336
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    • 2004
  • In this work, in order to obtain the detailed information about lightning electromagnetic pulses, the electric fields radiated from multiple lightning return strokes were measured and analyzed statistically. The electric field measuring system consists of a hemisphere antenna of 30cm in diameter, integrator and data acquisition device, and its frequency bandwidth ranges from 200Hz to 1.56MHz, and the sensitivity is 0.96㎷/V/m. The electric field signals are digitized every 200ns with the transient signal analyzer having the resolution of 12-bit and the recording length of 5 kilowords and are registered at personal computer. As a result, the electric fields produced by the first return stroke begin with a slow initial part or front, which starts just after or during the last stepped leader. On the average the rise times of the electric fields for the positive first, second and third strokes are 4.21${\mu}\textrm{s}$, 3.94${\mu}\textrm{s}$ and 2.75${\mu}\textrm{s}$, respectively, and those for the negative first, second and third strokes are 3.46${\mu}\textrm{s}$, 3.15${\mu}\textrm{s}$ and 2.79${\mu}\textrm{s}$, respectively. The zero-crossing times of the electric fields for first return strokes range from about 10 to 80${\mu}\textrm{s}$. The mean zero-crossing times for subsequent return strokes are shorter than those for first lightning return strokes.

Reverse Logistics Network Design with Incentive-Dependent Return

  • Asghari, Mohammad;Abrishami, Salman J.;Mahdavi, Faezeh
    • Industrial Engineering and Management Systems
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    • v.13 no.4
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    • pp.383-397
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    • 2014
  • Reverse logistics network design issues have been popularly discussed in recent years. However, few papers in the past literature have been dedicated to incentive effect on return quantity of used products. The purpose of this study is to formulate a dynamic nonlinear programming model of reverse logistics network design with the aim of managing the used products allocation by coordinating the collection centers and recovery facilities to warrant economic efficiency. In the optimization model, a fuzzy approach is applied to interpret the relationship between the rate of return and the suggested incentives. Due to funding constraints in setting up the collection centers, this work considers these centers as multi-capacity levels, which can be opened or closed at different periods. In view of the fact that the problem is known as NP-hard, we propose a heuristic method based on tabu search procedure to solve the presented model. Finally, several dominance properties of optimal solutions are demonstrated in comparison with the results of a state-of-the-art commercial solver.

Determination of Work Schedule Type by Dynamic Programming (동적계획모형을 이용한 근무형태 결정)

  • 김중순;안봉근;손달호
    • Korean Management Science Review
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    • v.20 no.2
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    • pp.33-43
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    • 2003
  • In this paper we applied dynamic programming to determining work schedule type. In dynamic programming formulation, each day during a planning horizon represents a stage for which a decision is made. The alternatives are given by work schedule types that combine regular time, overtime, additional shift, and so on. In this case, their associated return function is labor cost. The state is defined as the amount of work time allocated to stage 1, stage 2,…, and current stage. A case study for a real manufacturing company was performed to apply dynamic programming to scheduling daily work hours during a week. The case study showed that total cost of our solution derived from dynamic programming decreased by about 6% as compared with the solution obtained from the previous method.

Factors influencing the intent to return to practice (work) of inactive RNs (유휴간호사 재취업 의향에 영향을 미치는 요인)

  • Hwang, Nami;Jang, Insun;Park, Eunjun
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.3
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    • pp.791-801
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    • 2016
  • The purpose of this study is to examine factors affecting the intent of re-employment of inactive registered nurses. This study presents a secondary analysis of data collected in 'Nurse Turnover On-line Survey' by Korean Nurses Association and Korea Institute for Health and Social Affairs in 2014. The analysis shows that 70.9% of inactive RNs has an intent to return to practice, and most of them preferred 'flexible working options' (47.8%) or 'fixed day shifts' (43.3%) as a work pattern. Main reasons for resigning from their last job have been found to be 'high work intensity' (18.8%) and 'difficulties of night shifts' (16.7%). Inactive married RNs who have working histories in a general hospital or a long-term care hospital or have preferences for traditional shift works showed a stronger intent to return to practice than their reference group. Our study shows that, for inactive RNs to return to practice, it is recommendable to adopt various non-traditional working patterns, to make a staffing distribution considering the labor intensity and to develop education programs designed to increase RNs' professional satisfaction.

Physical Therapy at Early Stage for Return to Work in The Hand Injury (수부손상 환자의 직업복귀를 위한 조기 물리치료)

  • Bae Sung-Soo;Kwack Jeong-In;HwangBo Gak
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.11-20
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    • 1999
  • We can sec the case of hand injury patient in the industry field. Hand injury has more particularity than other injury cases. Because it is densely a lot of muscle, tendon, bone, vessels, and in progressing speedily to fibrosis, adhesion, stiffness than other joints. If it has baud injury, it is important to the physical therapy in early stage after operation. Otherwise, it is difficult to recover the function. Hand malfunction intimately has to do with the return to work and the grade of disability. There are many different hand injury cases but, we want to investigate several cases. : fracture. joint injury, tendon injury, and want to looking for treatment tine and method about these. So, we'll understand hand injury of industry disaster. and acknowledge of the importance of physical therapy in the early stage through these.

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EOMETRIC ANALYSIS OF NET PRESENT VALUE AND INTERNAL RATE OF RETURN

  • GABRIEL FILHO, L.A.;CREMASCO, C.P.;PUTTI, F.F.;GOES, B.C.;MAGALHAES, M.M.
    • Journal of applied mathematics & informatics
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    • v.34 no.1_2
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    • pp.75-84
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    • 2016
  • The objective of this work is to perform a geometric analysis of the net present value (NPV) and Internal Rate of Return (IRR), defining analytics and in verifying the relationship between geometric properties of such functions. For this simulation, was used the values of the cash flows for each period identical and equal to US$ 200.00 cash, the initial investment US$ 1,000.00 and investments of each identical and equal to US$ 50.00 period. In addition, the discount rate and time were considered a maximum of 2 years (24 months) at a rate between 0 and 100%. The geometric analysis of the characteristics obtained from the expressions of the Net Present Value and Internal Rate of Return possible to observe that besides the analytical dependence between these quantities , the geometric relationships are relevant when studied in relation to the zero NPV and expressed a great contribution the sense of a broad vision for the administrator in the analysis of analytical variables that in uences the balance sheet of the company.

Does Earnings Quality Affect Companies' Performance? New Evidence from the Jordanian Market

  • SALEH, Isam;ABU AFIFA, Malik;ALSUFY, Fares
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.11
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    • pp.33-43
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    • 2020
  • This study aims to investigate the importance of earnings quality as a determinant of companies' performance. It provides some empirical evidences from an emerging market, specifically from the Jordanian market. This study developed an econometric model for the effect of earnings quality on the companies' performance using empirical evidence. The study employs a panel data analysis method by using a sample of all Jordanian industrial public shareholding companies listed on Amman Stock Exchange (ASE) during 2010-2018. The results reveal that Return on Assets (ROA), Return on Equity (ROE), and Earnings Per Share (EPS) as proxies of company's performance are affected by the earnings quality. This provides the importance of positive earnings quality that eventually influences the companies' performance. The results of this study suggest that the higher control level on the managers' behavior and its outcome will have an effect on earnings quality, and thus the company's performance increases. As well as, high relevance of accounting information will improve earnings quality, and thus earnings quality with the interaction factors of the company's environment work on improving performance. As a conclusion, this study can work as a reference to assist standard setters, security analysts, regulators and other accounting-information users in appraising relation between the earnings quality and companies' performance.

Effects of Hypovolemic Hypotension on Cardiopulmonary Functions and Acid-Base Balance (출혈성 쇼크가 심폐기능 및 산.염기평형에 미치는 영향)

  • Sou, Won-Young;Lee, Sung-Haing
    • Journal of Chest Surgery
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    • v.6 no.2
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    • pp.131-142
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    • 1973
  • Studies of cardiopulmonary function and acid-base balance were performed on 29 dogs during control period, during oligemic hypotension and following return of blood to the animals. Intravenous morphine and local anesthesia were used. Fifteen of the 29 animals survived the complete experiment. The 14 animals that failed to survive the experimental period died between 15 to 90 minutes after the onset of bleeding. The results were as follows. 1. The heart rate increased after the onset of bleeding and failed to return to control level following reinfusion. Stroke volume decreased markedly after bleeding and failed to recover after return of blood from the reservoir. Cardiac output also decreased during oligemic hypotension and was maintained at this level after re-infusion. Total peripheral resistance decreased significantly immediately after bleeding, however it increased soon over the pre-bleeding level. Central venous pressure decreased after the onset of bleeding and remained at lower level for the rest of the experimental period. Arterial blood pressure, clown to 40-45 mmHg by acute hemorrhage, was elevated near to control level. Left ventricular work decreased tremendously during oligemic hypotension and failed to return to control level with the re-infusion of blood. Hematocrit value showed no significant decrease after bleeding and increased after re-infusion. Hemoglobin decreased after the onset of bleeding and recovered to control value after re-infusion. 2. The respiratory rate fell rapidly after bleeding from 124 to 29 and remained at this lower level for the remainder of the experiment. The tidal volume increased after bleeding and was maintained at this level for the remainder of the experiment. The respiratory minute volume showed no significant changes throughout the experimental period. Oxygen consumption fell lightly in all animals during oligemic hypotension and returned to normal levels following re-infusion. Arterial oxygen content and arterial oxygen saturation decreased following bleeding and the values returned to normal levels after the return of blood from the reservoir The arterio-venous oxygen difference increased after the onset of bleeding. It failed to return to normal values following re-infusion. Arterial $Pco_2$ decreased in all animals after the beginning of the bleeding. Partial pressure of $Co_2$ continued to fall until re-infusion, after which the values returned toward normal. Animals became acidotic. The pH fell to lower level following bleeding. Lactic acid and lactate: pyruvate ratio also increased during same period. Arterial pH and lactic acid failed to return to control value and lactate: pyruvate ratio increased more after re-infusion. Sodium bicarbonate decreased after bleeding and returned to control value following re-infusion.

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