No abstract available.
Heart Valves* ; Heart* ; Return to Work*

PURPOSE: This study was conducted to generate a grounded substantive theory of the adaptation process of nurses who return to work after taking parental leave. METHODS: Individual in-depth interviews with 13 participants were conducted between June and September 2014. Participants were interviewed 1~3 times; interviews were continued until the data became saturated. Data were analyzed using Strauss and Corbin's grounded theory method. RESULTS: The core category of experience of the process of adaptation as a nurse who returned to work after parental leave was 'trying to regain one's previous position'. Participants used five interactional strategies: 'preparing in advance', 'initiating relationships with colleagues', 'keeping a positive attitude', 'understanding parenting helpers', 'Taking burden off one's mind'. CONCLUSION: The results of this study provide a theoretical basis for the adaptation process of nurses returning to work after taking parental leave. The importance of improving nurses' attitudes to their co-workers who take parental leave is highlighted along with the necessity of providing a family-friendly work environment. These results can be used to develop supportive policies and programs for nurses who return to their work after parental leave.
Humans ; Parental Leave* ; Parenting ; Parents* ; Return to Work*

Today, lumbar disc surgery has been considerable refined from that performed by Mixter and Barr less than 50 years ago, but there is still room for improvement. The addition of the microsurgical technique may be the most recent means to refine the process of lumbar discectomy. Magnetified vision and brillant illumination have allowed neurosurgeons to refine many standard operations and to devise new ones for hitherto inaccessible areas. Small incisions, meticulous hemostasis, and precise removal of diseased tissue are the contributions of microsurgery to an ideal operation. 37 cases of microsurgical discectomy weer compared to the same number of standard operations. The total patient profiles were the same with other studies. The results demonstrated a 72.9% marked improvement in the standard discectomy category and a 83.9% marked improvement in the microsurgical discectomy group. Also, the mean time until their return to work was 7.3 wks in the microsurgical discectomy group, while 10.8 wks in the standard operation group.
Diskectomy ; Hemostasis ; Humans ; Lighting ; Microsurgery ; Return to Work

Diabetes sufferers in their 30s to 50s are at an age must maintain their income-producing activities while also managing their health; however, maintaining this balance is not always easy due to their disease. Patients in their 30s to 50s who are actively engaged in work life may not experience workplace difficulties when their diagnosis is known and can be addressed with health-promoting behaviors or passive management. Patients have limitations in implementing the active self-management required by the educational scene in-house. The reason is because the working environment in Korea has not yet established a proper perception of diabetes and feels that allowing diabetes to manage diseases against fairness. The educators proudly reveal themselves as diabetes and cannot take into consideration or take responsibility the disadvantages they can experience when returning to work, we must consider what the patient “has to do to get back to work.” In addition, patients should think about how to manage their disease effectively through more than just a passive response. Moreover the Korean Diabetes Association should establish guidelines for the areas that need to be protected legally and on the defensive aspects that need to be better perceived.
Diagnosis ; Humans ; Korea ; Return to Work ; Self Care

PURPOSE: The aims of this study was to identify factors associated with nutritional status after radical gastrectomy in patients with gastric cancer at the post 1 month and the post 3-6 months independently. METHODS: Participants consisted of 107 patients at the post 1 month and 131 patients at the post 3-6 months after radical gastrectomy. Data were collected from October 1, 2013 to May 14, 2014 using a Patient-Generated Subjective Global Assessment (PG-SGA), the Hospital Anxiety and Depression Scale (HADS) and the Connor-Davidson Resilience Scale (CD-RISC). RESULTS: Stepwise multiple regression showed that factors associated with nutritional status at 1 month after radical gastrectomy were age (beta=.55, p<.001), anxiety (beta=.25, p=.007), and depression (beta=.23, p=.017), which explained the 42.6% of total variance of nutritional status. However, factors associated with nutritional status at 3-6 months after radical gastrectomy were depression (beta=.41, p=.017), return to work (beta=.20, p<.001), and age (beta=.29, p=.024), which explained 27.1% of the total variance of nutritional status. CONCLUSION: In conclusion, oncology nurses should be sensitive to the risk group of aged, depressed, anxious and delayed return to work patients for nutritional status during the early recovery period after radical gastrectomy.
Anxiety ; Depression ; Gastrectomy* ; Humans ; Nutritional Status* ; Return to Work ; Stomach Neoplasms*

OBJECTIVES: We aimed to ascertain the relationship between several factors and successful return to work using a structural equation model. METHODS: We used original data from the Panel Study of Worker's Compensation Insurance, and defined four latent variables as occupational, individual, supportive, and successful return to work. Each latent variable was defined by its observed variables, including age, workplace size, and quality of the medical services. A theoretical model in which all latent variables had a relationship was suggested. After examining the model, we modified some pathways that were not significant or did not fit, and selected a final structural equation model that had the highest goodness of fit. RESULTS: All three latent variables (occupational, individual, and supportive) showed statistically significant relationships with successful return to work. The occupational and supportive factors had relationships with each other, but there was no relationship between individual and the other factors. Nearly all observed variables had significance with their latent variables. The correlation coefficients from the latent variables to successful return to work were statistically significant and the indices for goodness of fit were satisfactory. In particular, four observed variables-handicap level, duration of convalescence, working duration, and support from the company-showed construct validities with high correlation coefficients. CONCLUSIONS: All factors that we examined are related to successful return to work. We should focus on the supportive factor the most because its variables are modifiable to promote a return to work by those injured in their workplace.
Convalescence ; Insurance ; Models, Theoretical ; Return to Work* ; Workers' Compensation

The purpose of this study is to identify the various factors associated with the patients' return-to-work. For conducting the study, 511 samples are selected from nine industrial accident hospitals. Questionnaire are patient's general characteristics. injury characteristics and job characteristics. These results can be summarized as follows. When industrial accident patients get older, have family members to be supported, are hospitalized for less than six months, have accidents caused by their mistakes, have worked in the construction and manufacturing industry, have worked a company with more than 300 workers, and have worked for six months~ two years or over two years, they tend to express stronger willingness of return-to-work. In face with the current drastic increase of economic loss from industrial accidents, it is required to be dealt with these factors in planning and managing the health care of industrial accident patients.
Accidents, Occupational* ; Delivery of Health Care ; Humans ; Questionnaires ; Return to Work*

We studied retrospectively twenty-nine operations for removal of loose bodies from the knee under arthroscopic control from August, 1982 to Mach, 1985. We succed to remove loose bodies arthroscopically in 24 knees, but failed in 5 knees. The loose bodies were not visible radiologically in 12knees, and more than one loose body was present in 10 knees. The loose bodies, above Smm in diameter among the removed, were forty three; their mean diameter was 7.5mm and the most large one was 35 mm in diameter. The loose bodies were found most commonly from intercondylar notch area and the most common associated internal derangements was meniscal injury. The mean time for return to work was 2.5weeks(range 1 to 4.5weeks). The operation required considerable arthroscopic expertise and could be technically more exacting than other artroscopic procedures. After average two years and four months follow-up(range one year and five months to three years and eleven months), pain on knee joint was remained in five patients who had taken other associated derangement in same knee, but the patients who had loose bodies in knee joint as only problems were cured completely to normal knee joint function.
Arthroscopy ; Humans ; Knee Joint ; Knee ; Retrospective Studies ; Return to Work

PURPOSE: Cancer patients are at a higher risk of being unemployed or facing difficulty in returning to work (RTW) than individuals without health concerns. The aim of this study is to identify and describe interventions developed specifically to assist cancer patients to RTW after treatment. METHODS: A comprehensive search was conducted from September to October 2018 in different international databases: PubMed, Medline, and Embase. Studies using qualitative, quantitative, or mixed designs were included if they satisfied the following criteria: (a) described an intervention to assist cancer patients to RTW during or after treatment; (b) conducted on patients aged 18 and over and diagnosed with cancer; (c) written in English; (d) published in peer-reviewed journals. RESULTS: Fourteen studies met the inclusion criteria. Counseling with physical activity intervention, behavioral training to reduce fatigue, and multi-disciplinary rehabilitation programs were found to be effective. CONCLUSION: Interventions adopting a multidisciplinary approach were effective for RTW in cancer patients. This literature review emphasizes the need for more tailored interventions based on survivors' needs and characteristics in the RTW field.
Counseling ; Fatigue ; Humans ; Motor Activity ; Rehabilitation ; Return to Work ; Survivors

Lumbar disc herniation is one of the most common disorders and its current surgical standard is a microsurgical discectomy. The microendoscopic discectomy (MED) was initially developed in 1997 by Foley and Smith and it is a minimally invasive surgical technique. This article discusses the technique, outcome and complications of this procedure. MED is performed by a muscle splitting approach using a series of tubular dilators with consecutively increasing diameters. The original endoscopic procedure is modified with microscope which has led to the development of the Microscopic Endoscopic Tubular Retractor System (METRX, Medtronic Sofamor Danek, Memphis, TN). A tubular retractor is inserted over the final dilator, and then the microscope is placed inside the tubular retractor instead of the endoscope. And then microdiscectomy is performed in the usual fashion via tubular retractor. Clinical outcomes by modified MacNab criteria were revealed excellent to good results in up to 95% of the patients. Average return to work period was within 1 month. Complications included nerve root injury, dural tear, and recurrent disc herniations. MED is at least as effective as microdiscectomy for the treatment of lumbar disc herniations with regard to long-term outcomes. MED can be performed safely and effectively with a smaller incision, resulting in a shortened hospital stay and faster return to work.
Diskectomy ; Endoscopes ; Humans ; Length of Stay ; Muscles ; Return to Work