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A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain.

https://arctichealth.org/en/permalink/ahliterature61395
Source
Pain. 2005 Jun;115(3):273-83
Publication Type
Article
Date
Jun-2005
Author
Jensen IB
Bergström G
Ljungquist T
Bodin L
Author Affiliation
Section for Personal Injury Prevention, Karolinska Institutet, Box 127 18, 112 94 Stockholm, Sweden. irene.jensen@cns.ki.se
Source
Pain. 2005 Jun;115(3):273-83
Date
Jun-2005
Language
English
Publication Type
Article
Keywords
Adult
Back Pain - economics - rehabilitation
Cognitive Therapy
Comparative Study
Cost-Benefit Analysis
Delivery of Health Care - utilization
Employment
Female
Follow-Up Studies
Health Care Costs
Humans
Male
Middle Aged
Neck Pain - economics - rehabilitation
Pensions
Physical Therapy (Specialty) - economics - organization & administration
Program Evaluation
Quality of Life
Rehabilitation - economics - organization & administration
Research Support, Non-U.S. Gov't
Sick Leave
Abstract
The aim of the present study was to evaluate the long-term outcome of a behavioural medicine rehabilitation programme and the outcome of its two main components, compared to a 'treatment-as-usual' control group. The study employed a 4 x 5 repeated-measures design with four groups and five assessment periods during a 3-year follow-up. The group studied consisted of blue-collar and service/care workers on sick leave, identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomised to one of the four conditions: behaviour-oriented physiotherapy (PT), cognitive behavioural therapy (CBT), behavioural medicine rehabilitation consisting of PT+CBT (BM) and a 'treatment-as-usual' control group (CG). Outcome variables were sick leave, early retirement and health-related quality of life. A cost-effectiveness analysis, comparing the programmes, was made. The results showed, consistently, the full-time behavioural medicine programme being superior to the three other conditions. The strongest effect was found on females. Regarding sick leave, the mean difference in the per-protocol analysis between the BM programme and the control group was 201 days, thus reducing sick leave by about two-thirds of a working year. Rehabilitating women has a substantial impact on costs for production losses, whereas rehabilitating men seem to be effortless with no significant effect on either health or costs. In conclusion, a full-time behavioural medicine programme is a cost-effective method for improving health and increasing return to work in women working in blue-collar or service/care occupations and suffering from back/neck pain.
PubMed ID
15911154 View in PubMed
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A 6-year follow-up study of 122 patients attending a multiprofessional rehabilitation programme for persistent musculoskeletal-related pain.

https://arctichealth.org/en/permalink/ahliterature78830
Source
Int J Rehabil Res. 2007 Mar;30(1):9-18
Publication Type
Article
Date
Mar-2007
Author
Norrefalk Jan-Rickard
Linder Jürgen
Ekholm Jan
Borg Kristian
Author Affiliation
Department of Public Health Sciences, Division of Rehabilitation Medicine, Karolinska University Hospital, Stockholm, Sweden. norrefalk@hotmail.com
Source
Int J Rehabil Res. 2007 Mar;30(1):9-18
Date
Mar-2007
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Age Factors
Analgesics - therapeutic use
Case-Control Studies
Employment - statistics & numerical data
Female
Follow-Up Studies
Humans
Interviews
Male
Middle Aged
Musculoskeletal Diseases - rehabilitation
Pain - rehabilitation
Pain Measurement
Sick Leave
Sweden
Abstract
The aim of the study was to evaluate the outcome 6 years after completing a multiprofessional 8-week rehabilitation programme regarding the following objectives: (1) return to work, (2) level of activity and (3) pain intensity. Of 149 patients attending a rehabilitation programme, 122 were followed up after 6 years, through a structured telephone interview, and their present work situation, level of activity, sleeping habits, their estimated pain intensity and consumption of analgesics were recorded. The questions presented were the same as they had answered before entering the programme. The return-to-work rate was compared to 79 patients in a control group. At the 6-year follow-up, compared to before entering the programme, 52% had returned to work (P
PubMed ID
17293715 View in PubMed
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A 7-year follow-up of multidisciplinary rehabilitation among chronic neck and back pain patients. Is sick leave outcome dependent on psychologically derived patient groups?

https://arctichealth.org/en/permalink/ahliterature149098
Source
Eur J Pain. 2010 Apr;14(4):426-33
Publication Type
Article
Date
Apr-2010
Author
Gunnar Bergström
Cecilia Bergström
Jan Hagberg
Lennart Bodin
Irene Jensen
Author Affiliation
Karolinska Institutet, Division of Intervention and Implementation Research, Department of Public Health Sciences, Stockholm, Sweden.
Source
Eur J Pain. 2010 Apr;14(4):426-33
Date
Apr-2010
Language
English
Publication Type
Article
Keywords
Absenteeism
Adult
Back Pain - classification - psychology - rehabilitation
Cost-Benefit Analysis
Costs and Cost Analysis
Disability Evaluation
Female
Follow-Up Studies
Humans
Income
Male
Middle Aged
Neck Pain - classification - psychology - rehabilitation
Pain Measurement
Patient care team
Pensions
Prognosis
Risk
Sick Leave - economics - statistics & numerical data
Sweden - epidemiology
Treatment Outcome
Abstract
A valid method for classifying chronic pain patients into more homogenous groups could be useful for treatment planning, that is, which treatment is effective for which patient, and as a marker when evaluating treatment outcome. One instrument that has been used to derive subgroups of patients is the Multidimensional Pain Inventory (MPI). The primary aim of this study was to evaluate a classification method based on the Swedish version of the MPI, the MPI-S, to predict sick leave among chronic neck and back pain patients for a period of 7 years after vocational rehabilitation. As hypothesized, dysfunctional patients (DYS), according to the MPI-S, showed a higher amount of sickness absence and disability pension expressed in days than adaptive copers (AC) during the 7-years follow-up period, even when adjusting for sickness absence prior to rehabilitation (355.8days, 95% confidence interval, 71.7; 639.9). Forty percent of DYS patients and 26.7% of AC patients received disability pension during the follow-up period. However, this difference was not statistically significant. Further analyses showed that the difference between patient groups was most pronounced among patients with more than 60days of sickness absence prior to rehabilitation. Cost-effectiveness calculations indicated that the DYS patients showed an increase in production loss compared to AC patients. The present study yields support for the prognostic value of this subgroup classification method concerning long-term outcome on sick leave following this type of vocational rehabilitation.
PubMed ID
19683950 View in PubMed
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10-year trends of educational differences in long sickness absence due to mental disorders.

https://arctichealth.org/en/permalink/ahliterature285500
Source
J Occup Health. 2017 Jul 27;59(4):352-355
Publication Type
Article
Date
Jul-27-2017
Author
Hilla Sumanen
Olli Pietiläinen
Eero Lahelma
Ossi Rahkonen
Source
J Occup Health. 2017 Jul 27;59(4):352-355
Date
Jul-27-2017
Language
English
Publication Type
Article
Keywords
Absenteeism
Adolescent
Adult
Age Distribution
Cross-Sectional Studies
Education - classification - statistics & numerical data
Employment - psychology - statistics & numerical data
Female
Finland
Humans
Male
Mental Disorders - psychology
Middle Aged
Regression Analysis
Sex Distribution
Sick Leave - statistics & numerical data
Young Adult
Abstract
Mental disorders are a key cause of sickness absence (SA) and challenge prolonging working careers. Thus, evidence on the development of SA trends is needed. In this study, educational differences in long SAs due to mental disorders were examined in two age groups among employees of the City of Helsinki from 2004 to 2013.
All permanently and temporarily employed staff aged 18-34 and 35-49 were included in the analyses (n=~27800 per year). SA spells of =14 days due to mental disorders were examined annually. Education was classified to higher and lower levels. Joinpoint regression was used to identify major turning points in SA trends.
Joinpoint regression models showed that lower educated groups had more long SAs spells due to mental disorders than those groups with higher education. SA trends decreased during the study period in all studied age and educational groups. Lower educated age groups had similar SA trends. Younger employees with higher education had the fewest SAs.
A clear educational gradient was found in long SAs due to mental disorders during the study period. SA trends decreased from 2004 to 2013.
Notes
Cites: PLoS One. 2014 Jun 25;9(6):e9986924963812
Cites: J Occup Health. 2015;57(5):474-8126228519
Cites: Gesundheitswesen. 2015 Apr;77(4):e70-625756925
Cites: Scand J Work Environ Health. 2014 Jul;40(4):353-6024352164
Cites: Scand J Public Health Suppl. 2004;63:152-8015513656
Cites: BMJ Open. 2016 May 06;6(5):e00855027154473
Cites: Occup Med (Lond). 2012 Jul;62(5):379-8122638644
Cites: PLoS One. 2014 Dec 22;9(12):e11588525531900
Cites: Stat Med. 2000 Feb 15;19(3):335-5110649300
Cites: BJPsych Open. 2016 Jan 13;2(1):18-2427703749
Cites: Acta Psychiatr Scand. 2013 Apr;127(4):287-9722775341
Cites: Eur J Public Health. 2009 Dec;19(6):625-3019581376
Cites: BMC Public Health. 2010 Jul 20;10:42620646271
Cites: Int J Epidemiol. 2013 Jun;42(3):722-3022467288
Cites: Eur J Public Health. 2010 Jun;20(3):276-8019843600
Cites: J Occup Environ Med. 2017 Jan;59(1):114-11928045805
PubMed ID
28496028 View in PubMed
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A 12-year follow-up of subjects initially sicklisted with neck/shoulder or low back diagnoses.

https://arctichealth.org/en/permalink/ahliterature71946
Source
Physiother Res Int. 2001;6(1):52-63
Publication Type
Article
Date
2001
Author
G. Kjellman
B. Oberg
G. Hensing
K. Alexanderson
Author Affiliation
Department of Neuroscience and Locomotion, Linköping University, Sweden.
Source
Physiother Res Int. 2001;6(1):52-63
Date
2001
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Attitude to Health
Chronic Disease
Cohort Studies
Employment
Female
Follow-Up Studies
Health status
Humans
Low Back Pain - physiopathology
Male
Neck Pain - physiopathology
Questionnaires
Recurrence
Research Support, Non-U.S. Gov't
Risk factors
Shoulder Pain - physiopathology
Sick Leave
Abstract
BACKGROUND AND PURPOSE: Neck/shoulder and low back pain are common in the Western world and can cause great personal and economic consequences, but so far there are few long term follow-up studies of the consequences of back pain, especially studies that separate the location of back pain. More knowledge is needed about different patterns of risk factors and prognoses for neck/shoulder and low back pain, respectively, and they should not be treated as similar conditions. The aim of the present study was to investigate possible long-term differences in neck/shoulder and low back symptoms, experienced over a 12-year period, with regard to work status, present health, discomfort and influence on daily activities. METHOD: A retrospective cohort study of individuals sicklisted with neck/shoulder or low back diagnoses 12 years ago was undertaken. Included were all 213 people who, in 1985, lived in the municipality of Linköping, Sweden, were aged 25-34 years and who had taken at least one new period of sickleave lasting > 28 days with a neck/shoulder or low back diagnosis. In 1996, a questionnaire was mailed to the 204 people who were still resident in Sweden (response rate 73%). RESULTS: Those initially absent with neck/shoulder diagnoses rated their present state of discomfort as worse than those sicklisted with low back diagnoses. Only 4% of the neck/shoulder group reported no present discomfort compared with 25% of the low back group. Notably, both groups reported the same duration of low back discomfort during the last year, which may indicate a higher risk for symptoms in more than one location for subjects with neck/shoulder problems. CONCLUSIONS: Individuals with sickness absence of more than 28 days with neck/shoulder or low back diagnoses appear to be at high risk of developing long-standing symptoms significantly more so for those initially having neck/shoulder diagnoses.
PubMed ID
11379256 View in PubMed
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12-year trends in occupational class differences in short sickness absence among young women.

https://arctichealth.org/en/permalink/ahliterature265140
Source
Scand J Public Health. 2015 Jun;43(4):441-4
Publication Type
Article
Date
Jun-2015
Author
Sumanen Hilla
Lahti Jouni
Lahelma Eero
Pietiläinen Olli
Rahkonen Ossi
Source
Scand J Public Health. 2015 Jun;43(4):441-4
Date
Jun-2015
Language
English
Publication Type
Article
Keywords
Absenteeism
Adolescent
Adult
Female
Finland
Humans
Occupations - classification
Sick Leave - trends
Social Class
Young Adult
Abstract
Socioeconomic differences in sickness absence are well established among middle-aged employees but poorly known among younger employees, in particular for shorter spells. We examined trends in occupational class differences in short sickness absence among young women.
The data were obtained from the registers of the City of Helsinki, Finland, and included female employees aged 18-34 years from 2002 to 2013. Self-certified (1-3 days) sickness absence spells were examined. Occupational class was classified into four hierarchical categories. Joinpoint regression models were used to identify major changes in sickness absence trends.
Short sickness absence increased until 2008, after which it decreased in all occupational classes except manual workers. Differences in sickness absence between occupational classes remained over time. Routine non-manuals had the highest amount of short sickness absence, while managers and professionals had the smallest amount. Manual workers had somewhat less short sickness absence than routine non-manuals and semi-professionals.
The socioeconomic differences in short sickness absence were clear among young women but not fully consistent as routine non-manuals tended to have more sickness absence than manual workers. Preventive measures are needed to narrow socioeconomic differences in young women's sickness absence especially among routine non-manuals.
PubMed ID
25834066 View in PubMed
Less detail
Source
Lakartidningen. 1995 Sep 27;92(39):3556
Publication Type
Article
Date
Sep-27-1995
Author
P. Dahl
Source
Lakartidningen. 1995 Sep 27;92(39):3556
Date
Sep-27-1995
Language
Swedish
Publication Type
Article
Keywords
Humans
Rehabilitation, Vocational
Sick Leave
Sweden
Time Factors
PubMed ID
7564592 View in PubMed
Less detail

(137)Cs distributions in soil and trees in forest ecosystems after the radioactive fallout - Comparison study between southern Finland and Fukushima, Japan.

https://arctichealth.org/en/permalink/ahliterature281005
Source
J Environ Radioact. 2016 Sep;161:73-81
Publication Type
Article
Date
Sep-2016
Author
Jukka Pumpanen
Mizue Ohashi
Izuki Endo
Pertti Hari
Jaana Bäck
Markku Kulmala
Nobuhito Ohte
Source
J Environ Radioact. 2016 Sep;161:73-81
Date
Sep-2016
Language
English
Publication Type
Article
Keywords
Cesium Radioisotopes - analysis
Chernobyl Nuclear Accident
Cryptomeria
Finland
Fukushima Nuclear Accident
Japan
Pinus
Plant Leaves - chemistry
Plant Stems - chemistry
Radioactive fallout
Soil Pollutants, Radioactive - analysis
Trees - chemistry
Abstract
The nuclear accidents at Chernobyl and Fukushima released large amounts of (137)Cs radionuclides into the atmosphere which spread over large forest areas. We compared the (137)Cs concentration distribution in different parts of two coniferous forest ecosystems (needle litter, stems and at different depths in the soil) over short and long term periods in Finland and Japan. We also estimated the change in (137)Cs activity concentrations in needle and soil between 1995 and 2013 in Southern Finland based on the back-calculated (137)Cs activity concentrations. We hypothesized that if the (137)Cs activity concentrations measured in 1995 and 2013 showed a similar decline in concentration, the (137)Cs activity concentration in the ecosystem was already stable in 1995. But if not, the (137)Cs activity concentrations were still changing in 2013. Our results showed that the vertical distribution of the (137)Cs fallout in the soil was similar in Hyytiälä and Fukushima. The highest (137)Cs concentrations were observed in the uppermost surface layers of the soil, and they decreased exponentially deeper in the soil. We also observed that (137)Cs activity concentrations estimated from the samples in 1995 and 2013 in Finland showed different behavior in the surface soil layers compared to the deep soil layer. These results suggested that the (137)Cs nuclei were still mobile in the surface soil layers 27 years after the accident. Our results further indicated that, in the aboveground parts of the trees, the (137)Cs concentrations were much closer to steady-state when compared to those of the surface soil layers based on the estimated declining rates of (137)Cs concentration activity in needles which were similar in 1995 and 2013. Despite its mobility and active role in the metabolism of trees, the (137)Cs remains in the structure of the trees for decades, and there is not much exchange of (137)Cs between the heartwood and surface layers of the stem.
PubMed ID
27158060 View in PubMed
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A 300-million-year record of atmospheric carbon dioxide from fossil plant cuticles.

https://arctichealth.org/en/permalink/ahliterature95961
Source
Nature. 2001 May 17;411(6835):287-90
Publication Type
Article
Date
May-17-2001
Author
Retallack G J
Author Affiliation
Department of Geological Sciences, University of Oregon, Eugene 97403-1272, USA. gregr@darkwing.uoregon.edu
Source
Nature. 2001 May 17;411(6835):287-90
Date
May-17-2001
Language
English
Publication Type
Article
Keywords
Atmosphere - chemistry
Carbon Dioxide - metabolism
Cold Climate
Fossils
Ginkgo biloba - cytology - growth & development - metabolism
Greenhouse Effect
Ice
Methane - metabolism
Phylogeny
Plant Leaves - cytology - growth & development - metabolism
Plants, Medicinal
Pollen
Seasons
Water - metabolism
Abstract
To understand better the link between atmospheric CO2 concentrations and climate over geological time, records of past CO2 are reconstructed from geochemical proxies. Although these records have provided us with a broad picture of CO2 variation throughout the Phanerozoic eon (the past 544 Myr), inconsistencies and gaps remain that still need to be resolved. Here I present a continuous 300-Myr record of stomatal abundance from fossil leaves of four genera of plants that are closely related to the present-day Ginkgo tree. Using the known relationship between leaf stomatal abundance and growing season CO2 concentrations, I reconstruct past atmospheric CO2 concentrations. For the past 300 Myr, only two intervals of low CO2 (2,000 p.p.m.v.) concentrations. These results are consistent with some reconstructions of past CO2 (refs 1, 2) and palaeotemperature records, but suggest that CO2 reconstructions based on carbon isotope proxies may be compromised by episodic outbursts of isotopically light methane. These results support the role of water vapour, methane and CO2 in greenhouse climate warming over the past 300 Myr.
Notes
Comment In: Nature. 2001 May 17;411(6835):247-811357108
PubMed ID
11357126 View in PubMed
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Source
Lakartidningen. 2003 May 15;100(20):1830
Publication Type
Article
Date
May-15-2003
Author
Bo Norberg
Source
Lakartidningen. 2003 May 15;100(20):1830
Date
May-15-2003
Language
Swedish
Publication Type
Article
Keywords
Disability Evaluation
Humans
Rehabilitation, Vocational
Sick Leave - statistics & numerical data - trends
Sweden
Work Capacity Evaluation
Notes
Comment On: Lakartidningen. 2003 Apr 30;100(18):1653-412789815
PubMed ID
12806869 View in PubMed
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1682 records – page 1 of 169.