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Practices of Return-to-Work Coordinators Working in Large Organizations
Purpose Although the role of return-to-work coordinators (RTW coordinators) is associated with reducing long-term disabilities, little has been written about their practices. The objective of this study was to clearly identify their tasks and activities and the stakeholders with whom they collaborate.
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FACTORS RELATED TO SUCCESSFUL RETURN TO WORK FOLLOWING MULTIDISCIPLINARY REHA…
Overall, 65.5% of participants successfully returned to employment, either with their former employers or with new employers. Successful return to employment was found to be significantly higher than the overall proportion among those participants who had had commuting accidents, followed by those who had had workplace accidents. Successful return to employment was also associated with injurie…
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The pathogenesis of lactic acidosis in sepsis
Lactic acidosis is a common finding in critically ill patients during severe sepsis/septic shock, and a powerful predictor of mortality. Because of the knowledge that lactate is the end product of anaerobic glycolysis, the presence of hyperlactatemia in sepsis has been taken to indicate the development of anaerobic glycolysis within tissues. Such anaerobic glycolysis is understood to result …
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Diagnosis and Treatment of Hyponatremia: Compilation of the Guidelines
Hyponatremia is a common water balance disorder that often poses a diagnostic or therapeutic challenge. Therefore, guidelines were developed by professional organizations, one from within the United States (2013) and one from within Europe (2014). This review discusses the diagnosis and treatment of hyponatremia, comparing the two guidelines and highlighting recent developments.
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A Patient With Severe Hyponatremia and Hypokalemia: Osmotic Demyelination Fol…
Severe hyponatremia is a rare, but important, complication of thiazide diuretics. This often is associated with hypokalemia and other metabolic abnormalities, including hypophosphatemia and metabolic alkalosis.
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Nephrotic Syndrome and a Maculopapular Rash
A 26-year-old man was referred by his general practitioner due to new onset of peripheral edema with decreased urination. He reported that his urine was foamy but without gross hematuria. During the prior week, he had developed a rash. His medical history was unremarkable, except for attention deficit disorder, for which he used methylphenidate
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Connection between the heart and the gut
A 45-year-old man with ulcerative colitis was admitted with bloody diarrhoea and chest pain. Inflammatory markers and high-sensitivity troponin were elevated (C reactive protein 57 mg/L, white cell count 10.65×109/L, neutrophil 6.6×109/L, Troponin-I 663 mmol/L).
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Skin Wound Healing: An Update on the Current Knowledge and Concepts
The integrity of healthy skin plays a crucial role in maintaining physiological homeostasis of the human body. The skin is the largest organ system of the body. As such, it plays pivotal roles in the protection against mechanical forces and infections, fluid imbalance, and thermal dysregulation. At the same time, it allows for flexibility to enable joint function in some areas of the body a…
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Fluid management in acute kidney injury
Acute kidney injury (AKI) and fluids are closely linked through oliguria, which is a marker of the former and a trigger for administration of the latter. Recent progress in this field has challenged the physiological and clinical rational of using oliguria as a trigger for the administration of fluid and brought attention to the delicate balance between benefits and harms of different aspects o…
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Conners CBRS Update
The following updates have been made to the Conners Comprehensive Behavior Rating Scales™ (Conners CBRS™): (1) Validity scale interpretation, (2) T-score interpretation, (3) renaming the Aggressive Behaviors scale to Defiant/Aggressive Behaviors, (4) re-scoring the Violence Potential scale, and (5) adjusting triggers for the Other Clinical Indicators. These changes should improve the utilit…
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