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Moen B.E.,University of Bergen | Baste V.,University of Bergen | Morken T.,University of Bergen | Morken T.,University Health | And 6 more authors.
Industrial Health | Year: 2015

Night work has been associated with adverse effects in terms of reproductive health. Specifically, menstruation has been suggested to be negatively impacted by night work, which again may influence fertility. This study investigated whether working nights is related to menstrual characteristics and if there is a relationship between shift work disorder (SWD) and menstruation. The study was cross-sectional, response rate 38%. The sample comprised female nurses who were members of the Norwegian Nurses Association; below 50 yr of age, who were not pregnant, did not use hormonal pills or intrauterine devices and who had not reached menopause (n=766). The nurses answered a postal survey including questions about night work and menstrual characteristics. Fifteen per cent reported to have irregular menstruations. Thirty-nine per cent of the nurses were classified as having SWD. Logistic regression analyses concerning the relationship between irregular menstruations and night work did not show any associations. Furthermore, no associations were found between cycle length or bleeding period and night work parameters. No associations were found between menstrual characteristics and SWD. © 2015 National Institute of Occupational Safety and Health.

Tschudi-Madsen H.,University of Oslo | Kjeldsberg M.,University of Oslo | Natvig B.,University of Oslo | Natvig B.,Diakonhjemmet Hospital | And 6 more authors.
BMC Musculoskeletal Disorders | Year: 2011

Background: There is a lack of knowledge about the pattern of symptom reporting in the general population as most research focuses on specific diseases or symptoms. The number of musculoskeletal pain sites is a strong predictor for disability pensioning and, hence, is considered to be an important dimension in symptom reporting. The simple method of counting symptoms might also be applicable to non-musculoskeletal symptoms, rendering further dimensions in describing individual and public health. In a general population, we aimed to explore the association between self-reported non-musculoskeletal symptoms and the number of pain sites. Methods. With a cross-sectional design, the Standardised Nordic Questionnaire and the Subjective Health Complaints Inventory were used to record pain at ten different body sites and 13 non-musculoskeletal symptoms, respectively, among seven age groups in Ullensaker, Norway (n = 3,227). Results: Results showed a strong, almost linear relationship between the number of non-musculoskeletal symptoms and the number of pain sites (r = 0.55). The number and type of non-musculoskeletal symptoms had an almost equal explanatory power in the number of pain sites reported (27.1% vs. 28.2%). Conclusion: The linear association between the number of non-musculoskeletal and musculoskeletal symptoms might indicate that the symptoms share common characteristics and even common underlying causal factors. The total burden of symptoms as determined by the number of symptoms reported might be an interesting generic indicator of health and well-being, as well as present and future functioning. Research on symptom reporting might also be an alternative pathway to describe and, possibly, understand the medically unexplained multisymptom conditions. © 2011 Tschudi-Madsen et al; licensee BioMed Central Ltd.

News Article | December 12, 2016
Site: www.marketwired.com

Event co-sponsored with George Washington University Health Workforce Institute brings together leading voices on GME, health workforce, and health policy issues WASHINGTON, DC--(Marketwired - December 12, 2016) - At an event held today, entitled GME - Where Do We Go From Here?, health workforce thought leaders discussed possible policy developments for graduate medical education (GME) in the new political environment in addition to other challenges facing residents in training and those who administer residency programs. The event was co-sponsored by the Association of Academic Health Centers (AAHC) and George Washington University's Health Workforce Institute and held on the George Washington University campus. The event can be viewed at: http://bit.ly/2hbe6iY. The event is a capstone of nationwide discussions led by AAHC. Throughout 2015-16, the association, whose members educate the next generation of health professionals, served as a neutral convener hosting roundtable sessions in response to the release of the 2014 IOM report, Graduate Medical Education That Meets the Nation's Health Needs. "Through a series of seven round table sessions held across the US, we learned about improving the alignment between teaching hospitals who receive GME Medicare funding and medical schools who are responsible for teaching and program accreditation; issues surrounding the mental health and well-being of the residents; and the needs of rural and underserved communities, among other issues," noted Dr. Steven Wartman, AAHC president and CEO. Today's meeting underscored the importance of reviewing GME's future with a panel that included Donald Berwick, former administrator of the Centers for Medicare and Medicaid Services CMS, past president of the Institute for Healthcare Improvement, and co-chair of the IOM report; Victor Dzau, president, National Academy of Medicine; Karen Fisher, chief public policy officer, Association of American Medical Colleges; Steven Wartman, president and CEO of the Association of Academic Health Centers; Gail Wilensky, senior fellow at project hope, and co-chair of the IOM report, and the panel moderator: Fitzhugh Mullan, co-director of the GW University Health Workforce Institute. AAHC believes that any reforms to the GME system must be considered as part of a larger national health workforce strategy. Wartman adds, "As a nation, we need to be thinking strategically about how to improve health workforce market efficiency by ensuring that major stakeholders are working together. We must transform how we educate medical students -- as well as other health professionals -- and what we train them to do." AAHC is a non-profit association dedicated to advancing health and well-being through the vigorous leadership of academic health centers.

Skogen J.C.,University of Stavanger | Skogen J.C.,Norwegian Institute of Public Health | Skogen J.C.,University Health | Boe T.,University Health | And 4 more authors.
Addictive Behaviors | Year: 2013

The aim of the study was to examine the psychometric properties of the CRAFFT-questionnaire, and its concurrent validity with self-reported measures of alcohol consumption and illicit drug use ever among Norwegian adolescents. This study employs data from the ung@hordaland survey (N=9680). The concurrent validity of the CRAFFT-questionnaire was examined both as a case-finder with different cut-offs, but also as an ordinal scale. The ordinal scale was constructed by counting the number of affirmative responses from 0 to 6. Current self-reported excessive alcohol consumption, frequent binge drinking and any illicit drug use ever were employed as concurrent validity measures. The internal reliability of CRAFFT was adequate, and there was a linear relationship between CRAFFT-score and excessive alcohol consumption, frequent binge drinking and illicit drug use ever for both genders. Overall, this study shows a good concurrent validity and adequate psychometric properties of the CRAFFT-questionnaire. There results indicate, however, that the use of CRAFFT as a case-finder needs further research, as a suitable cut-point was difficult to determine. The authors conclude that in a clinical setting one positive answer is enough to warrant further investigation, and for research purposes the use of the questionnaire as an ordinal scale or using a cut-point of 2 might be preferable. © 2013 Elsevier Ltd.

Thom D.H.,University of California at San Francisco | Rortveit G.,University of Bergen | Rortveit G.,University Health
Acta Obstetricia et Gynecologica Scandinavica | Year: 2010

Objective. To investigate the prevalence of urinary incontinence within the first year postpartum. Design. A systematic review of population-based studies. Population. General female populations up to 1 year postpartum. Methods. Studies on incontinence in population-based sample defined as from one or more district hospitals or from multiple clinics covering a defined geographic area. Studies of women from a single outpatient clinic or who were referred for care (e.g. for being high risk) were excluded. In addition, studies had to have a sample size of over 100 participants and a response rate 50% or over. Main outcome measures. Prevalence from individual studies as well as mean prevalence is given. Pooled prevalence is estimated for nonheterogenous studies. Results. During the first 3 months postpartum, the pooled prevalence of any postpartum incontinence was 33% (95% confidence interval (CI) 32-36%) in all women. The mean prevalence of weekly and daily incontinence was 12% (95% CI 11-13%) and 3% (95% CI 3-4%), respectively. The mean prevalence was double in the vaginal delivery group (31%, 95% CI 30-33%) compared to the cesarean section group (15%, 95% CI 11-18%). Longitudinal studies within the first year postpartum showed small changes in prevalence over time. Conclusions. The prevalence of postpartum incontinence was high. Prevalence was substantially less for more frequent incontinence. Urinary incontinence after cesarean section was half the prevalence after vaginal delivery. © 2010 Informa Healthcare.

The International Association of HealthCare Professionals is pleased to welcome Horace Mitchell, MD, FAANS, Neurological Surgeon, to their prestigious organization with his upcoming publication in The Leading Physicians of the World. Dr. Horace Mitchell is a highly trained and qualified neurological surgeon with an extensive expertise in all facets of his work, especially complex spine-cervical and lumbar, scoliosis, cranial surgery, carpal tunnel, and ulnar nerve. Dr. Mitchell has been in practice for more than 21 years and is currently serving patients within The NeuroMedical Center Clinic in Baton Rouge, Louisiana. He is also affiliated with The Spine Hospital of Louisiana. Dr. Horace Mitchell attended Tulane University in New Orleans, where he graduated with his Medical Degree. He subsequently completed his General Surgery internship at Tulane-affiliated hospitals, before undertaking his residency training in Neurosurgery at St. Louis University Health Sciences Center. While at St. Louis University, Dr. Mitchell served as both an instructor and clinical professor in neurosurgery. Dr. Mitchell is certified by the American Board of Neurological Surgery, and has earned the coveted title of Fellow of the American Association of Neurological Surgery and the North American Spine Society. He currently serves as Department Chief for The NeuroMedical Center Clinic’s Neurosurgery Department. Dr. Mitchell keeps up to date with the latest advances and developments in his field by maintaining a membership with several professional organizations. He attributes his success to his hard work, as well as his willingness to listen and learn. Learn more about Dr. Mitchell here: http://www.theneuromedicalcenter.com/physician/horace-l-mitchell/ and be sure to read his upcoming publication in The Leading Physicians of the World. FindaTopDoc.com is a hub for all things medicine, featuring detailed descriptions of medical professionals across all areas of expertise, and information on thousands of healthcare topics.  Each month, millions of patients use FindaTopDoc to find a doctor nearby and instantly book an appointment online or create a review.  FindaTopDoc.com features each doctor’s full professional biography highlighting their achievements, experience, patient reviews and areas of expertise.  A leading provider of valuable health information that helps empower patient and doctor alike, FindaTopDoc enables readers to live a happier and healthier life.  For more information about FindaTopDoc, visit http://www.findatopdoc.com

Bull S.,University of Birmingham | Kickmeier-Rust M.,Graz University of Technology | Meissl-Egghart G.,Talkademy | Johnson M.D.,University of Birmingham | And 3 more authors.
Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) | Year: 2013

Introduction: With the range of educational tools available it is now realistic for learner models to take account of broader information, and there are strong arguments for placing open learner models in the centre of environments with diverse sources of data [1],[2],[3]. This Interactive Event will demonstrate the Next-TELL approach to facilitating teachers' use of data from a variety of sources, and will allow participants to interact at all stages of this process. The Interactive Event will comprise three parts: Going to the Chatterdale village: an OpenSim mystery for language learners; Interaction with ProNIFA (probabilistic non-invasive formative assessment) to help teachers transform Chatterdale log data for an open learner model; Interaction with the Next-TELL Open Learner Model to explore learner model visualisations from automated and manual sources. © 2013 Springer-Verlag Berlin Heidelberg.

Conrad S.A.,Louisiana State University Health Sciences Center | Grier L.R.,Louisiana State University Health Sciences Center | Scott L.K.,Wake forest University | Green R.,Louisiana State University Health Sciences Center | Jordan M.,University Health
Critical Care Medicine | Year: 2015

Objective: Extracorporeal membrane oxygenation provides support for patients with severe acute cardiopulmonary failure, allowing the application of lung or myocardial rest in anticipation of organ recovery, or as a bridge to long-term support. Advances in technology have improved the safety and ease of application of extracorporeal membrane oxygenation. Percutaneous cannulation is one of these advances and is now preferred over surgical cannulation in most cases. Percutaneous cannulation is increasingly performed by intensivists, cardiologists, interventional radiologists, and related specialties. The objective of this study is to review the experience of percutaneous cannulation by intensivists at a single institution. Design: A retrospective review of 100 subjects undergoing percutaneous cannulation for extracorporeal membrane oxygenation. Setting: Adult ICUs and PICUs at a tertiary academic medical institution. Patients: Critically ill neonatal, pediatric, and adult subjects with severe respiratory and/or cardiac failure undergoing percutaneous cannulation for extracorporeal membrane oxygenation. Modes of support included venoarterial, venovenous, venovenoarterial, and arteriovenous. Interventions Percutaneous extracorporeal membrane oxygenation. Measurements and Main Results: Case reports submitted to the Extracorporeal Life Support Organization and hospital records of the subjects were retrospectively reviewed. Subject demographics, type of support, cannulation configuration, types of cannulas, use of imaging modalities, and complications were recorded and summarized. One hundred ninety cannulations with cannula sizes from size 12 to 31F were performed by four intensivists in 100 subjects. Twenty-three were arterial (12-16F) and 167 were venous (12-31F). Preinsertion ultrasound was performed in 93 subjects (93%), fluoroscopic guidance in 79 subjects (85% of nonarteriovenous subjects), and ultrasound-guided insertion was performed in 65 subjects (65%). Two major complications occurred, each associated with mortality. Cannulation was successful in all other subjects (98% of subjects and 99% of cannulations). There were no cases of cannula-related bloodstream infection. Conclusions: Percutaneous cannulation for extracorporeal membrane oxygenation by intensivists can be performed with a high rate of success and a low rate of complications when accompanied by imaging support. © 2015 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc.

Oyeflaten I.,National Center for Occupational Rehabilitation | Oyeflaten I.,University Health | Midtgarden I.J.,National Center for Occupational Rehabilitation | Maeland S.,University Health | And 6 more authors.
Scandinavian Journal of Public Health | Year: 2014

The aim of this study was to explore how functional ability, coping and health were related to work and benefit status three years after participating in a four-week inpatient interdisciplinary occupational rehabilitation program. Methods: The cohort consisted of 338 individuals (75% females, mean age 51 years (SD=8.6)) who three years earlier had participated in a comprehensive inpatient interdisciplinary occupational rehabilitation program, due to long-term sick leave. The participants answered standardised questionnaires about subjective health complaints, functional ability, coping, and current work and benefit status. The relationships between these variables were analysed using logistic regression analyses. Results: At the time of the survey, 59% of the participants worked at least 50% of a full working day. Twenty-five percent received at least 50% disability pension and 16% received other benefits. Poor functional ability (OR 4.8; CI 3.0-7.6), poor general health (OR 3.8; CI 2.3-6.1), high level of subjective health complaints (OR 3.3; CI 2.1-5.2), low coping (OR 2.8; CI 1.7-4.4), poor physical fitness (OR 2.8; CI 1.7-4.6) and poor sleep quality (OR 2.4; CI 1.5-3.7) were associated with receiving allowances. In a fully adjusted model, only poor functional ability and low coping were associated with receiving allowances three years after occupational rehabilitation. Conclusions: Functional ability and coping were the variables most strongly associated with not having returned to work. More attention should therefore be paid to enhance these factors in occupational rehabilitation programs. Part-time work may be a feasible way to integrate individuals with reduced workability in working life, if the alternative is complete absence from work. © 2014 the Nordic Societies of Public Health.

PubMed | University Health and Inspire Research and Education
Type: Journal Article | Journal: The Journal of prosthetic dentistry | Year: 2016

The development of the positive airway pressure custom mask (TAP-PAP CM) has changed the treatment of obstructive sleep apnea. The TAP-PAP CM is used in continuous positive airway pressure therapy (CPAP) and is fabricated from the impression of the face. This mask is then connected to a post screwed into the mechanism of the TAP3 (Thornton Anterior Positioner) oral appliance. This strapless CPAP face mask features an efficient and stable CPAP interface with mandibular stabilization (Hybrid Therapy). A technique with a 2-stage polyvinyl siloxane face impression is described that offers improvements over the established single-stage face impression. This 2-stage impression technique eliminates problems inherent in the single-stage face impression, including voids, compressed tissue, inadequate borders, and a rushed experience due to the setting time of the single stage. The result is a custom mask with an improved seal to the CPAP device.

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