3 research outputs found
Work-Related Musculoskeletal Disorders: Prevalence Among Clinical Radiographers in Teaching Hospitals in North-Western Nigeria
Background: The components and activities within the scope of radiography practice pose high risks of work-related musculoskeletal disorders (WRMSDs) to radiographers in the course of performing diagnostic and therapeutic procedures.
Objectives: To determine the prevalence of WMSDs and identify the possible causes among radiographers within the study locality.
Methods: A validated self-administered questionnaire was distributed to all registered and licensed radiographers working in teaching hospitals within the region. The questionnaire contained 21 questions, divided into 3 sections; “A” captured demographic data; “B” captured educational qualifications and work experience; and “C” captured the prevalence, possible causes and responses to WRMSDs.
Results: The respondents were basically within the age range of 21 – 30 years (66.6%), with most of them being male. Most radiographers had clinical working experience between 1 to 10 years, and worked between 6-8 hours and above daily, with a case load of 30 patients and above. The reported case of WRMSD was 93.3%. The major identified causes of WRMSDs were maintaining of prolonged static position (20%), and frequent bending and twisting (16.7%). This study showed no statistically significant correlation between gender and WRMSDs.
Conclusion: There was remarkable evidence of WRMSDs among the practicing clinical radiographers within the North-Western Nigeria.
 
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Perception of Treatment Success and Impact on Function with Antibiotics or Appendectomy for Appendicitis
ObjectiveTo compare secondary patient reported outcomes of perceptions of treatment success and function for patients treated for appendicitis with appendectomy vs. antibiotics at 30 days.Summary background dataThe Comparison of Outcomes of antibiotic Drugs and Appendectomy trial found antibiotics noninferior to appendectomy based on 30-day health status. To address questions about outcomes among participants with lower socioeconomic status, we explored the relationship of sociodemographic and clinical factors and outcomes.MethodsWe focused on 4 patient reported outcomes at 30 days: high decisional regret, dissatisfaction with treatment, problems performing usual activities, and missing >10 days of work. The randomized (RCT) and observational cohorts were pooled for exploration of baseline factors. The RCT cohort alone was used for comparison of treatments. Logistic regression was used to assess associations.ResultsThe pooled cohort contained 2062 participants; 1552 from the RCT. Overall, regret and dissatisfaction were low whereas problems with usual activities and prolonged missed work occurred more frequently. In the RCT, those assigned to antibiotics had more regret (Odd ratios (OR) 2.97, 95% Confidence intervals (CI) 2.05-4.31) and dissatisfaction (OR 1.98, 95%CI 1.25-3.12), and reported less missed work (OR 0.39, 95%CI 0.27-0.56). Factors associated with function outcomes included sociodemographic and clinical variables for both treatment arms. Fewer factors were associated with dissatisfaction and regret.ConclusionsOverall, participants reported high satisfaction, low regret, and were frequently able to resume usual activities and return to work. When comparing treatments for appendicitis, no single measure defines success or failure for all people. The reported data may inform discussions regarding the most appropriate treatment for individuals.Trial registrationClinicaltrials.gov Identifier: NCT02800785