Objectives. This study compared the relative effectiveness of cervical spine manipulation and mobilization for neck pain. Methods. Neck-pain patients were randomized to following conditions: with or without heat, electrical muscle stimulation, stimulation. Results. Of 960 eligible patients, 336 enrolled in study. Mean reductions pain disability similar groups through 6 months. Conclusions. Cervical yield comparable clinical outcomes.

Study Design. A randomized clinical trial. Objectives. To compare the effectiveness of medical and chiropractic care for low back pain patients in managed care; to assess physical therapy among patients; modalities patients. Summary Background Data. Despite burden that places on patients, providers, society, relative common treatment strategies offered is unknown. Methods. Low presenting a large facility from October 30, 1995, through November 9, 1998, were randomly assigned balanced design...

To outline the knowledge gaps and research priorities identified by a broad base of stakeholders involved in planning participation an international conference agenda workshop on isocyanates human health held Potomac, Maryland, April 2013.A multimodal iterative approach was used for data collection including preconference surveys, review 2001 consensus isocyanates, oral poster presentations, focused break-out sessions, panel discussions, postconference workshop.Participants included...

Objectives. This study examined the difference in satisfaction between patients assigned to chiropractic vs medical care for treatment of low back pain a managed organization. Methods. Satisfaction scores (on 10–50 scale) after 4 weeks follow-up were compared among 672 randomized receive or care. Results. The mean score was greater than (crude = 5.5; 95% confidence interval 4.5, 6.5). Self-care advice and explanation predicted reduced estimated patients’ satisfaction. Conclusions....

Several occupational exposures adversely affect lung function.

Occupational health nurses have diverse backgrounds and their practices require the ability to perform unique professional tasks. This study empirically evaluated activities skills using a web-based log system describe at 15 specific sampled times. A national sample of 128 occupational provided 1,893 activity logs revealing use both clinical management on regular basis; indirect client care is as common direct "hands-on" care. Most are directly paid by employer serve benefit individual...

Background Firefighting is a hazardous profession and firefighters suffer workplace injury at higher rate than most US workers. Decreased physical fitness associated with in firefighters. A intervention was implemented among Tucson Fire Department recruit the goals of decreasing compensation claims frequency costs during academy, over subsequent probationary year. Methods records were analysed described by body part, type mechanism injury. Injury workers’ outcomes from academy initiation...

Data on respiratory symptoms and pulmonary function were obtained for 2736 Portland cement plant workers 755 controls. Personal dust samples contained a geometric mean concentration of 0.57 mg/m3 respirable 2.90 total dust. Cement controls had similar prevalences symptoms, except that 5.4% the dyspnoea compared with 2.7% The indices two groups. Among workers, prevalence chronic phlegm increased tenure whereas wheezing both current level. Other not significantly related to exposure.

Nine patients with laboratory-acquired Rocky Mountain spotted fever were seen during the period 1971 to 1976. Investigation of each case revealed either definite or probable exposure an aerosol containing infectious rickettsiae; in no was there evidence parenteral by accidental self-inoculation tick bite. These illnesses are believed represent infection acquired via respiratory route. This report emphasizes hazard Rickettsia rickettsii laboratory and discusses possibility transmission...

Objective: We sought to characterize the work environment and identify factors that influence occupational health of dental hygienists. Methods: conducted a qualitative analysis hygiene based on five national focus groups. Results: found musculoskeletal symptoms are common, particularly after 10 years; common ergonomic problems included instruments chairs. Important nonphysical workplace include role ambiguity (eg, employee vs. independent practitioner), inadequate recognition, identity...

Governmental mandates requiring mask wearing in public spaces to slow the spread of COVID-19 virus have been controversial United States. We test theory related anger and expression context posts about masks appearing on Twitter during a 12-week period which were adopted 18 states. The results consistent with an appraisal as providing protection from harm. Pro-mask directed at others for not increased following imposition among tweets originating states mandate. In without mandate, pro-mask...

Abstract Back pain among nurses is a common problem. Prior studies of this problem have been based on cross‐sectional or retrospective data. This 18‐month prospective study involving newly graduated from nursing school investigated personal, worksite, and training factors associated with future risk back pain. Each nurse underwent preliminary interview periodic follow‐ups to identify those injuries. Contingency tables logistic regression analyses demonstrated that prior significant episodes...

"Respiratory protection guidelines. This official statement of the American Thoracic Society was adopted by ATS Board Directors, March 1996.." journal respiratory and critical care medicine, 154(4), pp. 1153–1165

In 1998, the American College of Occupational and Environmental Medicine (ACOEM) recognized need for defining important competencies occupational environmental medicine (OEM) physicians published its original set OEM Competencies,1 which were updated in 2008.2 The evolving US health care system, along with recently research on how actually practice medicine,3–8 increasing globalization workplace, changes way medical residency programs define clinical competency,9–15 all contributed to a...

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Abstract Folk remedies can be a significant unrecognized source of lead toxicity. This case report toxicity due to Indian traditional herbal medicine illustrates that suspecting only occupational sources for poisoning in adults may mask true exposure.

We sought to compare total outpatient costs of 4 common treatments for low-back pain (LBP) at 18-months follow-up.Our work reports on findings from a randomized controlled trial within large medical group practice treating HMO patients. Patients (n = 681) were assigned 1 treatment groups, ie, care only (MD), with physical therapy (MDPt), chiropractic (DC), or modalities (DCPm). Total costs, excluding pharmaceuticals, measured 18 months. did not perform cost-effectiveness analysis because...