256 research outputs found

    Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders

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    Introduction In Denmark, the magnitude and impact of work disability on the individual worker and society has prompted the development of a new "coordinated and tailored work rehabilitation" (CTWR) approach. The aim of this study was to compare the effects of CTWR with conventional case management (CCM) on return-to-work of workers on sick leave due to musculoskeletal disorders (MSDs). Methods The study was a randomized controlled trial with economic evaluation undertaken with workers on sick leave for 4-12 weeks due to MSDs. CTWR consists of a work disability screening by an interdisciplinary team followed by the collaborative development of a RTW plan. The primary outcome variable was registered cumulative sickness absence hours during 12 months follow-up. Secondary outcomes were work status as well as pain intensity and functional disability, measured at baseline, 3 and 12 months follow-up. The economic evaluation (intervention costs, productivity loss, and health care utilization costs) was based on administrative data derived from national registries. Results For the time intervals 0-6 months, 6-12 months, and the entire follow-up period, the number of sickness absence hours was significantly lower in the CTWR group as compared to the control group. The total costs saved in CTWR participants compared to controls were estimated at US 1,366perpersonat6monthsfollowupandUS 1,366 per person at 6 months follow-up and US 10,666 per person at 12 months follow-up. Conclusions Workers on sick leave for 4-12 weeks due to MSD who underwent "CTWR" by an interdisciplinary team had fewer sickness absence hours than controls. The economic evaluation showed that-in terms of productivity loss-CTWR seems to be cost saving for the society

    Three-algebra for supermembrane and two-algebra for superstring

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    While string or Yang-Mills theories are based on Lie algebra or two-algebra structure, recent studies indicate that M-theory may require a one higher, three-algebra structure. Here we construct a covariant action for a supermembrane in eleven dimensions, which is invariant under global supersymmetry, local fermionic symmetry and worldvolume diffeomorphism. Our action is classically on-shell equivalent to the celebrated Bergshoeff-Sezgin-Townsend action. However, the novelty is that we spell the action genuinely in terms of Nambu three-brackets: All the derivatives appear through Nambu brackets and hence it manifests the three-algebra structure. Further the double dimensional reduction of our action gives straightforwardly to a type IIA string action featuring two-algebra. Applying the same method, we also construct a covariant action for type IIB superstring, leading directly to the IKKT matrix model.Comment: 1+15 pages, no figure; Refs added, Accepted for publication in JHE

    An Experimental Study of Coconut Shell with Sugarcane Bagasse Ash as Partial Replacement of Coarse Aggregates and Cement to Concrete

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    High building material costs and demand can be a significant disadvantage for builders and contractors. The cost of raw materials such as wood, steel, and concrete is always growing, increasing the cost of projects. Due to the high demand for certain materials, they can be difficult to get on time, causing project delays. This is especially true when working on large-scale projects with short deadlines. This research presents an idea to minimize the problem by partially replacing the cement and coarse aggregates with sugarcane bagasse ash and coconut shell. The study has 3 main objectives: (1) To determine the effects of workability (slump cone test) and durability (water absorption test) of concrete when Coconut Shell and Sugarcane Bagasse Ash are used as partial replacements of cement and coarse aggregates after 7, 14, and 28 days of curing.The samples were tested using a Universal Testing Machine (UTM) and the outcomes of the experiment revealed that CS and SCBA have a positive result on the properties of standard concrete

    Behavioral determinants as predictors of return to work after long-term sickness absence: an application of the theory of planned behavior

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    Background The aim of this prospective, longitudinal cohort study was to analyze the association between the three behavioral determinants of the theory of planned behavior (TPB) model-attitude, subjective norm and self-efficacy-and the time to return-to-work (RTW) in employees on long-term sick leave. Methods The study was based on a sample of 926 employees on sickness absence (maximum duration of 12 weeks). The employees filled out a baseline questionnaire and were subsequently followed until the tenth month after listing sick. The TPB-determinants were measured at baseline. Work attitude was measured with a Dutch language version of the Work Involvement Scale. Subjective norm was measured with a self-structured scale reflecting a person's perception of social support and social pressure. Self-efficacy was measured with the three subscales of a standardised Dutch version of the general self-efficacy scale (ALCOS): willingness to expend effort in completing the behavior, persistence in the face of adversity, and willingness to initiate behavior. Cox proportional hazards regression analyses were used to identify behavioral determinants of the time to RTW. Results Median time to RTW was 160 days. In the univariate analysis, all potential prognostic factors were significantly associated (P < 0.15) with time to RTW: work attitude, social support, and the three subscales of self-efficacy. The final multivariate model with time to RTW as the predicted outcome included work attitude, social support and willingness to expend effort in completing the behavior as significant predictive factors. Conclusions This prospective, longitudinal cohort-study showed that work attitude, social support and willingness to expend effort in completing the behavior are significantly associated with a shorter time to RTW in employees on long-term sickness absence. This provides suggestive evidence for the relevance of behavioral characteristics in the prediction of duration of sickness absence. It may be a promising approach to address the behavioral determinants in the development of interventions focusing on RTW in employees on long-term sick leave

    Return-to-Work Self-Efficacy:Development and Validation of a Scale in Claimants with Musculoskeletal Disorders

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    Introduction We report on the development and validation of a 10-item scale assessing self-efficacy within the return-to-work context, the Return-to-Work Self-Efficacy (RTWSE) scale. Methods Lost-time claimants completed a telephone survey 1 month (n = 632) and 6 months (n = 446) after a work-related musculoskeletal injury. Exploratory (Varimax and Promax rotation) and confirmatory factor analyses of self-efficacy items were conducted with two separate subsamples at both time points. Construct validity was examined by comparing scale measurements and theoretically derived constructs, and the phase specificity of RTWSE was studied by examining changes in strength of relationships between the RTWSE Subscales and the other constructs at both time measures. Results Factor analyses supported three underlying factors: (1) Obtaining help from supervisor, (2) Coping with pain (3) Obtaining help from co-workers. Internal consistency (alpha) for the three subscales ranged from 0.66 to 0.93. The total variance explained was 68% at 1-month follow-up and 76% at 6-month follow-up. Confirmatory factor analyses had satisfactory fit indices to confirm the initial model. With regard to construct validity: relationships of RTWSE with depressive symptoms, fear-avoidance, pain, and general health, were generally in the hypothesized direction. However, the hypothesis that less advanced stages of change on the Readiness for RTW scale would be associated with lower RTWSE could not be completely confirmed: on all RTWSE subscales, RTWSE decreased significantly for a subset of participants who started working again. Moreover, only Pain RTWSE was significantly associated with RTW status and duration of work disability. With regard to the phase specificity, the strength of association between RTWSE and other constructs was stronger at 6 months post-injury compared to 1 month post-injury. Conclusions A final 10-item version of the RTWSE has adequate internal consistency and validity to assess the confidence of injured workers to obtain help from supervisor and co-workers and to cope with pain. With regard to phase specificity, stronger associations between RTWSE and other constructs at 6-month follow-up suggest that the association between these psychological constructs consolidates over time after the disruptive event of the injury

    Identification of the factors associated with outcomes in a condition management programme

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    &lt;p&gt;Background: A requirement of the Government’s Pathways to Work (PtW) agenda was to introduce a Condition Management Programme (CMP). The aim of the present study was to identify the differences between those who engaged and made progress in this telephone-based biopsychosocial intervention, in terms of their health, and those who did not and to determine the client and practitioner characteristics and programme elements associated with success in a programme aimed at improving health.&lt;/p&gt; &lt;p&gt;Methods: Data were obtained from the CMP electronic spreadsheets and clients paper-based case records. CMP standard practice was that questionnaires were administered during the pre- and post-assessment phases over the telephone. Each client’s record contains their socio-demographic data, their primary health condition, as well as the pre- and post-intervention scores of the health assessment tool administered. Univariate and multivariate statistical analysis was used to investigate the relationships between the database variables. Clients were included in the study if their records were available for analysis from July 2006 to December 2007.&lt;/p&gt; &lt;p&gt; Results: On average there were 112 referrals per month, totalling 2016 referrals during the evaluation period. The majority (62.8%) of clients had a mental-health condition. Successful completion of the programme was 28.5% (575 “completers”; 144 “discharges”). Several factors, such as age, health condition, mode of contact, and practitioner characteristics, were significant determinants of participation and completion of the programme. The results showed that completion of the CMP was associated with a better mental-health status, by reducing the number of clients that were either anxious, depressed or both, before undertaking the programme, from 74% to 32.5%.&lt;/p&gt; &lt;p&gt;Conclusions: Our findings showed that an individual's characteristics are associated with success in the programme, defined as completing the intervention and demonstrating an improved health status. This study provides some evidence that the systematic evaluation of such programmes and interventions could identify ways in which they could be improved.&lt;/p&gt

    An Investigation on the Number of Freshmen Students Sent by Seventh-day Adventist Academies to Adventist University of the Philippines: Basis for Promotional Strategies

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    This study determined the number of students sent by the Seventh-day Adventist academies to Adventist University of the Philippines (AUP). This study employed descriptive internal desk research method in the data collection and analysis. The data were taken from the application forms accomplished by the 1,263 freshmen students who came and studied at AUP from Academic Year 2012- 2017. Frequency was used to describe the number of students from different academies. The results of the study revealed the number of students from the different academies in the country from the highest to the lowest number of students sent to AUP. Rank no. 1 in the list is AUP academy with a total of 400 freshmen students, rank no. 2 is Lipa Adventist Academy with a total of 120 freshmen students, rank no. 3 is Central Luzon Adventist Academy with a total of 79 freshmen students, rank no.4 is Northeast Luzon Adventist Academy with a total of 54 freshmen students and rank no. 5 is Pasay City Adventist Academy with a total of 51 freshmen students and the rest of the Seventh-day Adventist academies in the country. The researcher recommends that the marketing department of AUP should do something in order to have many freshmen students from our Seventhday Adventist academies. After knowing the results of the study, it is time to promote to the academies which have minimal to no students sent to AUP
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