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A 25-year follow-up study of drug addicts hospitalised for acute hepatitis: present and past morbidity.

https://arctichealth.org/en/permalink/ahliterature7324
Source
Eur Addict Res. 2003 Apr;9(2):80-6
Publication Type
Article
Date
Apr-2003
Author
Susanne Rogne Gjeruldsen
Bjørn Myrvang
Stein Opjordsmoen
Author Affiliation
Department of Infectious Diseases, Ullevål University Hospital, Oslo, Norway. s.m.r.gieruldsen@iwoks.uio.no
Source
Eur Addict Res. 2003 Apr;9(2):80-6
Date
Apr-2003
Language
English
Publication Type
Article
Keywords
Acute Disease
Adult
Alcoholism - diagnosis - epidemiology
Comorbidity
Cross-Sectional Studies
Female
Follow-Up Studies
HIV Seropositivity - diagnosis - epidemiology
Health Behavior
Hepatitis B - epidemiology - rehabilitation
Hepatitis C - epidemiology - rehabilitation
Hospitalization - statistics & numerical data
Humans
Life Style
Male
Mental Disorders - diagnosis - epidemiology
Middle Aged
Norway
Rehabilitation, Vocational - statistics & numerical data
Skin Diseases, Infectious - diagnosis - epidemiology
Social Environment
Substance Abuse, Intravenous - epidemiology - rehabilitation
Treatment Outcome
Abstract
The aim of the study was to investigate present and past morbidity in drug addicts, 25 years after hospitalisation for acute hepatitis B or hepatitis nonA-nonB. The hospital records for 214 consecutively admitted patients were analysed, and a follow-up study on 66 of the 144 patients still alive was performed. At follow-up, 1 of 54 (1.8%) hepatitis B patients was still HBsAg positive. Twelve patients originally diagnosed as hepatitis nonA-nonB were all among 54 found to be anti-hepatitis C virus (anti-HCV) positive, and the total anti-HCV prevalence was 81.8%. Twelve (22.2%) of the HCV cases were unknown before the follow-up examination. Four (6.1%) participants were anti-human immunodeficiency virus positive, only 1 was on antiretroviral therapy, and none had developed AIDS. Other chronic somatic diseases were a minor problem, whereas drug users reported skin infections as a frequent complication. Forty-three patients (65%) had abandoned addictive drugs since the hospital stay. Serious mental disorders were reported by 19 patients (28.8%), and 17 (25.8%) regarded themselves as present (9) and former (8) compulsive alcohol drinkers. A large proportion of the participants were granted disability pension (39%), a majority because of psychiatric disorders, drug and alcohol abuse.
PubMed ID
12644734 View in PubMed
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[An analysis of the work activities and survival of patients operated on for stomach cancer]

https://arctichealth.org/en/permalink/ahliterature24649
Source
Vopr Onkol. 1992;38(5):599-604
Publication Type
Article
Date
1992
Author
A G Zakhar'ian
V I Stoliarov
A E Kolosov
Source
Vopr Onkol. 1992;38(5):599-604
Date
1992
Language
Russian
Publication Type
Article
Keywords
Adult
Disability Evaluation
English Abstract
Female
Follow-Up Studies
Humans
Male
Middle Aged
Rehabilitation, Vocational - statistics & numerical data
Siberia
Stomach Neoplasms - mortality - rehabilitation - surgery
Time Factors
Work
Abstract
The paper deals with the analysis of dynamics of working activity of 146 radically treated gastric cancer patients examined by the Oncological Commission for Ability Expertise of Novosibirsk in 1984-1988 and then followed for 2-5 years. The percentage of patients returning to work was the highest during the first and third years posttreatment. This was attributed to extension of temporary invalidity period and rehabilitation of group 2 invalids, respectively. Lethality among patients returning to work was 8.2 +/- 2.3% as compared to 62.6 +/- 2.5% in a group of 385 patients who did not work. Labor activity did not adversely influence the clinical course of disease. The unfavorable course was attributed to biological properties of tumor such as low degree of differentiation and infiltrative pattern of growth.
PubMed ID
1300760 View in PubMed
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Conformance to evidence-based treatment recommendations in schizophrenia treatment services.

https://arctichealth.org/en/permalink/ahliterature124807
Source
Can J Psychiatry. 2012 May;57(5):317-23
Publication Type
Article
Date
May-2012
Author
Donald Addington
Emily McKenzie
Harvey Smith
Henry Chuang
Stephen Boucher
Beverly Adams
Zahinoor Ismail
Author Affiliation
Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada. addingto@ucalgary.ca
Source
Can J Psychiatry. 2012 May;57(5):317-23
Date
May-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Antipsychotic Agents - therapeutic use
Canada
Cohort Studies
Community Mental Health Services - statistics & numerical data
Cross-Sectional Studies
Evidence-Based Medicine
Female
Guideline Adherence - statistics & numerical data
Humans
Male
Middle Aged
Process Assessment (Health Care) - statistics & numerical data
Psychotherapy - statistics & numerical data
Quality Indicators, Health Care - statistics & numerical data
Rehabilitation, Vocational - statistics & numerical data
Schizophrenia - therapy
Abstract
To assess quality of health care provided in a representative Canadian mental health service using conformance to evidence-based treatment recommendations, and to examine differences from published US results.
We used a cross-sectional cohort design involving a randomly selected sample of patients diagnosed with schizophrenia attending 1 of 3 mental health clinics in 1 Canadian regional health system. The sample size was calculated to detect differences with the US sample. Conformance criteria were based on a published protocol. Data were collected using patient interviews and a structured review of health records. Conformance to 9 key Schizophrenia Patient Outcomes Research Team recommendations was assessed.
Conformance ranged between 58% and 90% for pharmacological recommendations, and 0% to 81% for psychosocial recommendations. No patients who met criteria for assertive case management had been referred to an assertive case management team. Significant differences in conformance rates to some treatment recommendations were found between Canadian and published US results.
It proved possible to assess health care quality using process measures of conformance to treatment recommendations. Conformance to clinical recommendations for pharmacotherapy is higher than for psychosocial therapies. The absence of barriers to access for pharmacological therapies likely enhances the higher conformance to these recommendations. Limited or variable access to psychosocial services, specifically assertive community treatment, likely negatively affects conformance to psychosocial treatment recommendations. Methodological limitations preclude drawing conclusions on comparisons between Canadian and US services.
Notes
Comment In: Can J Psychiatry. 2012 Sep;57(9):583; author reply 583-423073036
PubMed ID
22546064 View in PubMed
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Employability and work ability: returning to the labour market after long-term absence.

https://arctichealth.org/en/permalink/ahliterature258070
Source
Work. 2013;44(4):449-57
Publication Type
Article
Date
2013
Author
Staffan Nilsson
Kerstin Ekberg
Author Affiliation
HELIX VINN Excellence Centre, Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden. Staffan.Nilsson@liu.se
Source
Work. 2013;44(4):449-57
Date
2013
Language
English
Publication Type
Article
Keywords
Absenteeism
Adult
Cohort Studies
Employment - classification
Female
Health Status Indicators
Humans
Male
Middle Aged
Professional Competence
Questionnaires
Rehabilitation, Vocational - statistics & numerical data
Return to Work - psychology
Sex Distribution
Sick Leave
Social Class
Sweden
Work Capacity Evaluation
Abstract
The aim of this study was to analyse how people who return to the labour market after long-term sickness absenteeism and subsequent job loss differ in employability, work ability, health, educational level, age, and gender, compared to those who do not.
The cohort consisted of 191 individuals, 20 men and 171 women, whose employment was terminated because they had not been able to return to their regular work after taking a long-term sick leave and rehabilitation measures.
This study is based on a postal questionnaire sent out to a cohort of previous employees in a Swedish municipality in 2008.
At the time of the survey, 39% of the respondents had returned to the labour market and the remaining 61% had not. Return to the labour market after a long-term sick leave was positively associated with male gender, young age, and work ability, i.e. the ability to work with respect to health and work-related demands. Employability, educational level, and health were not significantly associated with a return to the labour market.
In the discourse on employability, work ability is often neglected even though it is a central aspect of an individual's ability to obtain new employment.
PubMed ID
22927605 View in PubMed
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Employment of persons with spinal cord lesions injured more than 20 years ago.

https://arctichealth.org/en/permalink/ahliterature98759
Source
Disabil Rehabil. 2009;31(26):2174-84
Publication Type
Article
Date
2009
Author
Ingeborg Beate Lidal
Nils Hjeltnes
Jo Røislien
Johan Kvalvik Stanghelle
Fin Biering-Sørensen
Author Affiliation
Sunnaas Rehabilitation Hospital and Faculty of Medicine, University of Oslo, 1450 Nesoddtangen, Norway. Ingeborg.lidal@sunnaas.no
Source
Disabil Rehabil. 2009;31(26):2174-84
Date
2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Employment - statistics & numerical data
Female
Humans
Male
Norway
Personal Satisfaction
Proportional Hazards Models
Rehabilitation, Vocational - statistics & numerical data
Spinal Cord Injuries - rehabilitation
Young Adult
Abstract
PURPOSE: The primary objective was to study factors influencing post-injury employment and withdrawal from work in persons who sustained traumatic spinal cord injury (SCI) more than 20 years ago. A secondary objective was to study life satisfaction in the same patients. METHOD: A cross-sectional study with retrospective data of 165 SCI-patients admitted to Sunnaas Rehabilitation Hospital 1961-1982. Multiple logistic regression was used to identify predictors for obtaining work post-injury. A Cox proportional hazards regression model was used to study factors influencing early withdrawal from work, i.e. time from injury until discontinuing employment. RESULTS: Sixty-five percent of the participants were employed at some point after the injury. Thirty-five percent still had work at the time of the survey. The odds of obtaining work after injury were higher in persons of younger age at injury, higher in males versus females, higher for persons with paraplegia versus tetraplegia, and for persons classified as Frankel D-E compared to a more severe SCI. Factors associated with shorter time from injury until discontinuing employment were higher age at injury, incidence of injury after 1975 versus before, and a history of pre-injury medical condition(s). Life satisfaction was better for currently employed participants. CONCLUSION: The study indicates a low employment-rate in persons with SCI, even several years after injury. From the results, we suggest more support, especially to persons of older age at injury and/or with a history of pre-injury medical condition(s), to help them to obtain work and sustain employed for more years after injury.
PubMed ID
19903127 View in PubMed
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Employment outcome and predictors of competitive employment at 2-year follow-up of a vocational rehabilitation programme for individuals with schizophrenia in a high-income welfare society.

https://arctichealth.org/en/permalink/ahliterature282465
Source
Nord J Psychiatry. 2017 Apr;71(3):180-187
Publication Type
Article
Date
Apr-2017
Author
Stig Evensen
Torill Ueland
June Ullevoldsæter Lystad
Helen Bull
Ole Klungsøyr
Egil W Martinsen
Erik Falkum
Source
Nord J Psychiatry. 2017 Apr;71(3):180-187
Date
Apr-2017
Language
English
Publication Type
Article
Keywords
Adult
Employment - statistics & numerical data
Female
Follow-Up Studies
Humans
Male
Middle Aged
Norway
Outcome Assessment (Health Care) - statistics & numerical data
Rehabilitation, Vocational - statistics & numerical data
Schizophrenia - rehabilitation
Self Concept
Young Adult
Abstract
Employment is an important part of recovery for individuals with schizophrenia. The employment rate for this group is as low as 10% in Norway, and major system related barriers to employment are evident.
This study reports the competitive employment outcome at 2-year follow-up of a vocational rehabilitation study augmented with cognitive remediation (CR) or elements from cognitive behaviour therapy (CBT) for individuals with schizophrenia spectrum disorders. It also investigates if global functioning, self-esteem, and depression at baseline predicts employment outcome, and if change in these variables during the intervention period is associated with employment outcome.
One hundred and forty-eight participants with schizophrenia spectrum disorders in six Norwegian counties received 10 months vocational rehabilitation augmented with either CBT (n?=?84) or CR (n?=?64). Both competitive and sheltered workplaces were used. Participants were assessed at baseline, at the end of the intervention period, and at 2-year follow-up.
At 2-year follow-up, 21.2% had obtained competitive employment. A further 25.3% had work placements in competitive workplaces. Significant improvements were found in global functioning, self-esteem, and depression during the intervention period, but no significant differences between the two intervention groups. High baseline global functioning and self-esteem, as well as positive change in these variables during the intervention period, were significantly associated with higher competitive employment outcome at 2-year follow-up.
The results add to existing evidence that competitive employment is attainable for individuals with schizophrenia. High global functioning and self-esteem were strongly associated with competitive employment outcome.
PubMed ID
27774843 View in PubMed
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Fibromyalgia--a new cause for disability pension.

https://arctichealth.org/en/permalink/ahliterature220952
Source
Scand J Soc Med. 1993 Jun;21(2):116-9
Publication Type
Article
Date
Jun-1993
Author
D. Bruusgaard
A R Evensen
T. Bjerkedal
Author Affiliation
Department of Community Medicine, University of Oslo, Norway.
Source
Scand J Soc Med. 1993 Jun;21(2):116-9
Date
Jun-1993
Language
English
Publication Type
Article
Keywords
Adult
Cross-Sectional Studies
Diagnosis, Differential
Disability Evaluation
Female
Fibromyalgia - epidemiology - etiology - rehabilitation
Humans
Incidence
Male
Middle Aged
Norway - epidemiology
Pensions
Rehabilitation, Vocational - statistics & numerical data
Abstract
Fibromyalgia is a condition under dispute. Accepted by some as a major step forward in understanding some of the patients with widespread muscular pain, looked upon as a confusing side step by others. In 1988 fibromyalgia was by far the most frequent single diagnosis as a reason for disability pension in Norway. Disability statistics however show big differences between counties. Two neighbouring counties had among the lowest and the highest incidence of disability pensioners with the diagnosis fibromyalgia. New pensioners with fibromyalgia and some closely related diagnoses have been studied during the year 1988 by means of reading the insurance records. It became apparent that the difference between the two counties with respect to the incidence of fibromyalgia as a cause of disability pension could be explained by differences in diagnostic setting by the doctors and difference in the assessment from the insurance system, rather than real differences in morbidity pattern. Complaints from the musculoskeletal system is frequent and increasing in the population both as a reason for sick leave and disability pension. Whether this complicated and challenging situation is made more easy to handle by defining a subgroup of those persons as having "fibromyalgia" is questioned.
PubMed ID
8367676 View in PubMed
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Gender differences in the prediction of 5-year outcome in first episode psychosis.

https://arctichealth.org/en/permalink/ahliterature93766
Source
Int J Methods Psychiatr Res. 2007;16(4):208-18
Publication Type
Article
Date
2007
Author
Mattsson Maria
Flyckt Lena
Edman Gunnar
Nyman Håkan
Cullberg Johan
Forsell Yvonne
Author Affiliation
Department of Psychiatry, R&D Section, Danderyd Hospital, Stockholm, Sweden. maria.mattsson@sll.se
Source
Int J Methods Psychiatr Res. 2007;16(4):208-18
Date
2007
Language
English
Publication Type
Article
Keywords
Activities of Daily Living - psychology
Adult
Antipsychotic Agents - therapeutic use
Brief Psychiatric Rating Scale - statistics & numerical data
Combined Modality Therapy
Comorbidity
Female
Health Services Needs and Demand - statistics & numerical data
Humans
Long-Term Care - statistics & numerical data
Male
Outcome Assessment (Health Care) - statistics & numerical data
Patient Admission - statistics & numerical data
Prognosis
Psychiatric Status Rating Scales
Psychometrics - statistics & numerical data
Psychotic Disorders - epidemiology - psychology - rehabilitation
Rehabilitation, Vocational - statistics & numerical data
Reproducibility of Results
Risk factors
Sex Factors
Social Adjustment
Sweden
Abstract
OBJECTIVE: To examine gender differences in prediction of long-term outcome in first episode psychosis (FEP). METHOD: Eighty-one male and 72 female FEP patients were compared regarding the sensitivity and specificity of the Predictive Rating Scale (PRS). The contributions of pre-admission clinical and socio-demographic characteristics to a poor 5-year outcome were analysed for males and females separately. Gender differences in the relations between predictors and outcome were examined using the equality of correlation comparing correlation coefficients. RESULTS: The sensitivity of the PRS was significantly better for males than for females. The following items: 'the highest Global Assessment of Functioning (GAF) the year before first admission
PubMed ID
18188834 View in PubMed
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Impact of personal and environmental factors on employment outcome two years after moderate-to-severe traumatic brain injury.

https://arctichealth.org/en/permalink/ahliterature107519
Source
J Rehabil Med. 2013 Sep;45(8):801-7
Publication Type
Article
Date
Sep-2013
Author
Marit V Forslund
Cecilie Roe
Juan Carlos Arango-Lasprilla
Solrun Sigurdardottir
Nada Andelic
Author Affiliation
Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway. mvforslund@gmail.com
Source
J Rehabil Med. 2013 Sep;45(8):801-7
Date
Sep-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Brain Injuries - epidemiology - rehabilitation
Cost of Illness
Employment - statistics & numerical data
Female
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Norway - epidemiology
Prospective Studies
Rehabilitation, Vocational - statistics & numerical data
Young Adult
Abstract
To describe employment outcomes and assess the impact of personal and environmental factors on employment outcomes 2 years after moderate-to-severe traumatic brain injury.
A prospective cohort of 100 patients with moderate-to-severe traumatic brain injury, aged 16-55 years, hospitalized in a Trauma Referral Centre during the period 2005-2007 and followed up at 1 and 2 years post-injury.
Variables of interest were divided into personal and environmental factors. Personal factors include socio-demographics (age, gender, education, work demands, marital status and child-care). Environmental factors included social (support by friends), institutional (number of rehabilitation services, need for well-coordinated healthcare services), and physical (access to own transportation) factors. A multivariate logistic regression analysis was conducted with employment (working part-/full-time or studying) at 2-year follow-up as the dependent variable, and including independent variables based on significance from a univariate analysis, adjusting for injury severity.
At the 2-year follow-up, 44% of patients were employed. Patients with less severe injuries (odds ratio (OR)?=?1.2, p?=?0.03), those supported by friends (OR?=?3.5, p?=?0.07), those not in need of well-coordinated health services (OR?=?4.1, p?=?0.04), and patients driving a vehicle at the 1-year follow-up (OR?=?8.4, p?
PubMed ID
24002317 View in PubMed
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[Increased cooperation of measures for persons sick-listed for a long time. More active rehabilitation with the project Nyckeln].

https://arctichealth.org/en/permalink/ahliterature218374
Source
Lakartidningen. 1994 Apr 6;91(14):1413-4
Publication Type
Article
Date
Apr-6-1994

29 records – page 1 of 3.