Absence From Work, Sick Pay and Positional Consumption Concerns

Laszlo Goerke

doi:10.1111/labr.12144

Sick Pay and Absence from Work: Evidence from Flu Exposure

SSRN Electronic Journal ◽

10.2139/ssrn.3829986 ◽

2021 ◽

Author(s):

Jakub Grossmann

Keyword(s):

Absence From Work ◽

Sick Pay

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Laparoscopic appendectomy versus antibiotic treatment for acute appendicitis—a systematic review

International Journal of Colorectal Disease ◽

10.1007/s00384-021-03927-5 ◽

2021 ◽

Author(s):

Franziska Köhler ◽

Anne Hendricks ◽

Carolin Kastner ◽

Sophie Müller ◽

Kevin Boerner ◽

...

Keyword(s):

Systematic Review ◽

Antibiotic Therapy ◽

Antibiotic Treatment ◽

Laparoscopic Appendectomy ◽

Data Extraction ◽

Open Appendectomy ◽

Cochrane Library ◽

Pubmed Database ◽

Uncomplicated Appendicitis ◽

Absence From Work

Abstract Background Over the last years, laparoscopic appendectomy has progressively replaced open appendectomy and become the current gold standard treatment for suspected, uncomplicated appendicitis. At the same time, though, it is an ongoing discussion that antibiotic therapy can be an equivalent treatment for patients with uncomplicated appendicitis. The aim of this systematic review was to determine the safety and efficacy of antibiotic therapy and compare it to the laparoscopic appendectomy for acute, uncomplicated appendicitis. Methods The PubMed database, Embase database, and Cochrane library were scanned for studies comparing laparoscopic appendectomy with antibiotic treatment. Two independent reviewers performed the study selection and data extraction. The primary endpoint was defined as successful treatment of appendicitis. Secondary endpoints were pain intensity, duration of hospitalization, absence from work, and incidence of complications. Results No studies were found that exclusively compared laparoscopic appendectomy with antibiotic treatment for acute, uncomplicated appendicitis. Conclusions To date, there are no studies comparing antibiotic treatment to laparoscopic appendectomy for patients with acute uncomplicated appendicitis, thus emphasizing the lack of evidence and need for further investigation.

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Work absence and multimorbidity in Portugal: results from the 1st National Health Examination Survey

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1390 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

J Matos ◽

C Matias Dias ◽

A Félix

Keyword(s):

Logistic Regression ◽

Regression Model ◽

Chronic Diseases ◽

National Health ◽

Logistic Regression Model ◽

Health Examination ◽

Work Absence ◽

Health Examination Survey ◽

Absence From Work ◽

The Impact

Abstract Background Studies on the impact of patients with multimorbidity in the absence of work indicate that the number and type of chronic diseases may increase absenteeism and that the risk of absence from work is higher in people with two or more chronic diseases. This study analyzed the association between multimorbidity and greater frequency and duration of work absence in the portuguese population between the ages of 25 and 65 during 2015. Methods This is an epidemiological, observational, cross-sectional study with an analytical component that has its source of information from the 1st National Health Examination Survey. The study analyzed univariate, bivariate and multivariate variables under study. A multivariate logistic regression model was constructed. Results The prevalence of absenteeism was 55,1%. Education showed an association with absence of work (p = 0,0157), as well as professional activity (p = 0,0086). It wasn't possible to verify association between the presence of chronic diseases (p = 0,9358) or the presence of multimorbidity (p = 0,4309) with absence of work. The prevalence of multimorbidity was 31,8%. There was association between age (p < 0,0001), education (p < 0,001) and yield (p = 0,0009) and multimorbidity. There is no increase in the number of days of absence from work due to the increase in the number of chronic diseases. In the optimized logistic regression model the only variables that demonstrated association with the variable labor absence were age (p = 0,0391) and education (0,0089). Conclusions The scientific evidence generated will contribute to the current discussion on the need for the health and social security system to develop policies to patients with multimorbidity. Key messages The prevalence of absenteeism and multimorbidity in Portugal was respectively 55,1% and 31,8%. In the optimized model age and education demonstrated association with the variable labor absence.

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Towards a Functional Performance Validation Standard for Industrial Low-Back Exoskeletons: State of the Art Review

Sensors ◽

10.3390/s21030808 ◽

2021 ◽

Vol 21 (3) ◽

pp. 808

Author(s):

Mattia Pesenti ◽

Alberto Antonietti ◽

Marta Gandolla ◽

Alessandra Pedrocchi

Keyword(s):

Functional Performance ◽

State Of The Art ◽

Productivity Loss ◽

Evaluation Criteria ◽

The State ◽

Low Back ◽

Industrial Workers ◽

Rigorous Evaluation ◽

Work Related ◽

Absence From Work

While the research interest for exoskeletons has been rising in the last decades, missing standards for their rigorous evaluation are potentially limiting their adoption in the industrial field. In this context, exoskeletons for worker support have the aim to reduce the physical effort required by humans, with dramatic social and economic impact. Indeed, exoskeletons can reduce the occurrence and the entity of work-related musculoskeletal disorders that often cause absence from work, resulting in an eventual productivity loss. This very urgent and multifaceted issue is starting to be acknowledged by researchers. This article provides a systematic review of the state of the art for functional performance evaluation of low-back exoskeletons for industrial workers. We report the state-of-the-art evaluation criteria and metrics used for such a purpose, highlighting the lack of a standard for this practice. Very few studies carried out a rigorous evaluation of the assistance provided by the device. To address also this topic, the article ends with a proposed framework for the functional validation of low-back exoskeletons for the industry, with the aim to pave the way for the definition of rigorous industrial standards.

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AB0182 EVALUATION OF THE SOCIO-PROFESSIONAL IMPACT OF ANKYLOSING SPONDYLITIS AND RHEUMATOID ARTHRITIS IN TUNISIA: DATA FROM THE BINAR REGISTRY

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.4884 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 1390.2-1391

Author(s):

H. Hachfi ◽

N. Ben Chekaya ◽

D. Khalifa ◽

M. Brahem ◽

H. Themri ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Ankylosing Spondylitis ◽

Marital Status ◽

Biological Therapy ◽

Total Duration ◽

National Registry ◽

Inflammatory Rheumatic Diseases ◽

Physically Active ◽

Absence From Work ◽

Professional Impact

Background:Rheumatoid arthritis (RA) and ankylosing spondylitis (AS) are disabling and common chronic inflammatory rheumatic diseases.Objectives:The aim of our study was to evaluate the socio-professional impact of RA and AS.Methods:Using the Biological National Registry (BINAR) data, which includes ten tunisian rheumatology centers,we identified patients≥18 years with AS and RA according to the ACR and EULAR 2010 criteria(RA) and ASAS 2009 (AS), receiving biotherapy for less than two years.Results:298 patients were included in the study. The percentage of patients with RA was 58.7 % and those with AS 41.3%. The sex ratio was 0.6. The average age of the onset of the disease was 49.1 years ± 14.1 years [18–79]. For marital status, 72% were married, single (25%), widowed (2.6%) and divorced (0.4%). 22.4% of patients were illiterate, 32.7 % (primary), 28.3% (secondary) and 16.6% had an university level. For the RA population, a high disease activity (DAS28-ESR >5.1) was detected in 36% of patients, an erosive arthritis in 73.1% and 7.2% had a coxitis. In the AS group, an elevate BASDAI (BASDAI≥4) was detected in 56.9% of patients and 39% had coxitis. All patients have received Biological therapy concomitant with corticosteroids (59.1%), methotrexate (42.6%), salazopirine (20.8%) and leflunomide (4.7%). 54% of patients had a comorbidity, of which 1.7% was depression. More than half of our patients (54.3%) were unemployed, 40 % were professionally active, and 5.7% were retired due to the rheumatic condition. Absence from work was observed in 15.1% of cases with a total duration exceeding three months in 55.5% of cases. 37.9 % of patients were physically active: regularly (9.8%), irregularly (28.1%) and (62.1%) were sedentary. For the functional impact, HAQ score was 1.31± 0.7 for RA and BASFI was 5.2 ± 4.8 for AS. The working abandonment is significantly associated to: marital status (p=0.039), low level of education (p=0.04),depression (p<0.001), high activity of AS (p=0.004) and BASFI>4 (p=0,001).Conclusion:RA or AS requiring biotherapy have a high socio-economic impact and are responsible for absenteeism at work and even for early working abandonment. Early therapeutic management and a global assessment are essential in order to improve quality of life and working conditions. Longitudinal studies are needed to assess the effect of biological therapy on the socio-professional impact of these chronic inflammatory rheumatic disease.Disclosure of Interests:None declared

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Surgery during pregnancy – results of a German questionnaire

Innovative Surgical Sciences ◽

10.1515/iss-2020-0025 ◽

2020 ◽

Vol 5 (1-2) ◽

pp. 21-26

Author(s):

Frauke Fritze-Büttner ◽

Bettina Toth ◽

Astrid Bühren ◽

Katja Schlosser ◽

Stefanie Schierholz ◽

...

Keyword(s):

Nationwide Survey ◽

German Society ◽

Legal Regulations ◽

Premature Labor ◽

Life Balance ◽

Surgical Career ◽

Female Surgeons ◽

Leg Edema ◽

Absence From Work ◽

Operative Activity

AbstractObjectivesWorldwide, not only the number of female medical students, but also of female surgeons increases. Simultaneously, younger generations take a closer look to their work-life balance. With this in mind, it seems necessary to evaluate the expectations of female surgeons in particular with respect to pregnancy during their surgical career.MethodsTherefore, a nationwide survey was conducted in Germany from July to December 2016 under the auspices of the German Society of Surgery as well as the Professional Board of German Surgeons. The questionnaire involved 2,294 female surgeons and 1,843 complete records were evaluated.ResultsOf the analyzed answers, 62% of the women (n=781) were operating during pregnancy. The joy of surgery (91.6%), followed by team spirit (57.1%), were the main motivations to perform operations while pregnant. Operative activity decreased from 30.8% in the first 3 months of pregnancy to 21.5% during the last three months. Regarding the possible complaints, e.g., leg edema, back pain, premature labor and vaginal bleeding, there were no significant differences between the women with or without activity in the operating room. Sick leave due to pregnancy (1–10 days) was stated by 40.4% of respondents.ConclusionDespite strong legal regulations for pregnant surgeons, the survey showed that most female surgeons are eager to operate despite their pregnancy. The results also demonstrate no significant differences regarding complications during pregnancy- or pregnant-dependent absence from work. Hospitals and surgical departments are asked to establish proper working conditions for pregnant surgeons and pregnancy should not be an obstacle for a career in surgery.

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