Neck fracture of a cementless forged titanium alloy femoral stem following total hip arthroplasty: a case report and review of the literature

<p>Abstract</p> <p>Introduction</p> <p>Fractures of the neck of the femoral component have been reported in uncemented total hip replacements, however, to our knowledge, no fractures of the neck of a cementless forged titanium alloy femoral stem coated in the proximal third with hydroxy-apatite have been reported in the medical literature.</p> <p>Case presentation</p> <p>This case report describes a fracture of the neck of a cementless forged titanium alloy stem coated in the proximal third with hydroxy-apatite.</p> <p>Conclusion</p> <p>The neck of the femoral stem failed from fatigue probably because of a combination of factors described analytically below.</p

Differential Effects of Aerobic Exercise, Resistance Training and Combined Exercise Modalities on Cholesterol and the Lipid Profile:Review, Synthesis and Recommendations

There is a direct relationship between chronically elevated cholesterol levels (dyslipidaemia) and coronary heart disease. A reduction in total cholesterol is considered the gold standard in preventative cardiovascular medicine. Exercise has been shown to have positive impacts on the pathogenesis, symptomatology and physical fitness of individuals with dyslipidaemia, and to reduce cholesterol levels. The optimal mode, frequency, intensity and duration of exercise for improvement of cholesterol levels are, however, yet to be identified. This review assesses the evidence from 13 published investigations and two review articles that have addressed the effects of aerobic exercise, resistance training and combined aerobic and resistance training on cholesterol levels and the lipid profile. The data included in this review confirm the beneficial effects of regular activity on cholesterol levels and describe the impacts of differing volumes and intensities of exercise upon different types of cholesterol. Evidence-based exercise recommendations are presented, aimed at facilitating the prescription and delivery of interventions in order to optimize cholesterol levels

Five-Year Epidemiological Study and Estimation of Accidents Distribution in Construction Industry Workers in Yazd City by the Year 2011 by Applying Time Series Model

Abstract: Background & Aims: Occupational accidents are known as one of the most important causes of disabilities and mortality in developed and developing countries. Construction industry is one of the most high risk occupations which its hazardous are not known completely. In addition to occupational accidents, construction workers are faced many diseases factors such as asbestos, silicon, fumes and noises. The aim of this research was an epidemiological study and determination of a model for estimating accidents of instructor industry by the year 2011 in Yazd city. Methods: This study is a descriptive, analytical and distribution modeling. The questionnaire contained the variables of age, occupation, type of accident, injured part and the results of accident. Results: In this research 247 construction workers injured along five years in Yazd were studied. Most of the injured workers had worked less than one year (34.8%) and 12.55% had worked more than 20 years. Fatal rate of workers with no insurance was significantly more than those who had insurance (p<0.01). The most prevalent accident was falling (48.58%) and the less was chocking (2%). The highest level of injury was in hands and feet (27.53%) followed by head injury (22.27%). The relationships of accident results with occupation and also part of body were statistically significant (P<0.001). More than 51% of head injuries lead to death. After testing many models, time series model of quadratic form was found to be the closest model to the trend of data. Conclusion: According to time series model estimation, with this trend the rate of occupational injuries would be more than 300 cases by the year 2011 and this recommends serious measures for prevention. Keywords: Accidents, Time Series Analysis, Construction Worker

Psychosocial and Individual Characteristics and Musculoskeletal Complaints Among Clinical Laboratory Workers

Musculoskeletal disorders (MSDs) are an important health problem among healthcare workers, including clinical laboratory ones. The aim of the present study was to investigate the prevalence of MSDs and individual and psychosocial risk factors among clinical laboratory workers. A cross-sectional study was carried out among 156 workers of 30 clinical laboratories in 3 towns of Iran. The Nordic questionnaire with individual and psychosocial risk factors was used to collect data. Multiple logistic regression analysis was performed. The prevalence of reported MSDs among the study population was 72.4% in the past 12 months. The most prevalent MSDs were pain in the lower back and neck; 42.7% and 33.3%, respectively. Significant relations were found between MSDs and age, gender, heavy work at home and job control (p < .05). MSDs among laboratory workers were high and associated with age, gender, heavy work at home and job control. More research into measuring these factors and workplace physical demands is suggested

Psychosocial and Individual Characteristics and Musculoskeletal Complaints Among Clinical Laboratory Workers

Musculoskeletal disorders (MSDs) are an important health problem among healthcare workers, including clinical laboratory ones. The aim of the present study was to investigate the prevalence of MSDs and individual and psychosocial risk factors among clinical laboratory workers. A cross-sectional study was carried out among 156 workers of 30 clinical laboratories in 3 towns of Iran. The Nordic questionnaire with individual and psychosocial risk factors was used to collect data. Multiple logistic regression analysis was performed. The prevalence of reported MSDs among the study population was 72.4% in the past 12 months. The most prevalent MSDs were pain in the lower back and neck; 42.7% and 33.3%, respectively. Significant relations were found between MSDs and age, gender, heavy work at home and job control (p < .05). MSDs among laboratory workers were high and associated with age, gender, heavy work at home and job control. More research into measuring these factors and workplace physical demands is suggested

Renewable Energy and Power Quality Journal (RE&amp;PQJ) A Practical Method for Optimized Reactive Power Sharing Among Passive Filters

Abstract. This paper presents a practical method for reactive power sharing among harmonics filters. The proposed method minimizes the total harmonic distortion of the current. The current is measured at the incoming bus to which harmonics filters are connected. The total harmonics distortion and individual harmonics of the voltage at the bus to which the harmonic filters are connected and the individual harmonics of the current measured at the mentioned measurement point are used as constraints of optimization. The Optimization Toolbox of MATLAB software is used in this paper. The simulation results show the efficiency and robustness of the proposed method

Investigation of Occupational Stress and its Relationship with the Demographic Characteristics of Workers in Ilam, Iran

BACKGROUND: Workers are more susceptible to stress disorder for several reasons. The aim of this study was to investigate occupational stress among workers and other personnel at the ZardjinBaft Workshop in Ilam, Iran, and to examine the relationship between occupational stress and several parameters, such as age, gender, marital status, educational level, work experience, tobacco use, body mass index (BMI), and the type of work. METHOD: This was a descriptive, cross-sectional study that was performed in June 2010. The sample population that was studied consisted of all of the workers and other personnel (130 people) at ZardjinBaft Workshop in Ilam, Iran. They were studied using Cooper's standard questionnaire for stress in the work environment, and we examined the relationship between stress, as the dependent variable, and the eight independent variables mentioned in the Abstract. RESULTS: In the sample population that was studied, severe stress was not observed in most of the sections of the workshop. In addition, using the analysis of variance test (ANOVA), no significant relationship was observed between the average degree of stress and the average demographic characteristics. However, the average stress level had significant relationships with the level of education, work experience, and the type of work, suggesting that stress increases as the level of education increases. In addition, in the beginning and early years of employment, medium levels of stress were observed, and the prevalence of stress decreased after the first 10 years of employment. In addition, workers in the ventilation section of the factory had the highest stress levels. The fear of losing their jobs was the main factor that caused stress among the workers at ZardjinBaft Workshop in Ilam. CONCLUSION: We suggest that managers consider the high importance of stress in the work environment. They should be able to recognize when workers are stressed and offer them assistance and training. They also can eliminate the factors that cause stress in the work environment by taking preventive action. In parallel, workers should try to interact well with their managers and talk to her or him about the conditions of their jobs

Determination of Job Stresses and Their Consequences in Drivers in Ilam

BACKGROUND: Human factors cause 60-70 percent of automobile accidents. Everything related to people that is involved in and interacting with a system is considered to be a human factor. These factors can be psychological, biological, or social, and all of them can affect drivers' behaviors. Therefore, one of the negative and unfavorable effects of these factors is that they cause accidents. According to previous research, increases in the job stresses result in increases in the incidence of car accidents. Drivers who feel stressed often do not to observe the rules, and they may not even notice the warning signs. By measuring the job stress among drivers and its adverse effects, this research aimed to provide an appropriate managerial solution to reduce these problems. METHODS: The sample in this descriptive-analytical study consisted of 250 drivers who were selected and investigated. A job stress questionnaire was used as a means for collecting data. Health conditions were assessed by referring to clinical documents provided for the drivers. Accident data were included in the study using accident-related documentation. Two hundred and fifty drivers from Ilam, Iran participated and were analyzed in this study. This research is a cross-sectional study that was performed by dossiers and personal memoirs. Data were analyzed by SPSS16 and the chi-squared test. RESULTS: The study showed that the main factors that cause medium- to high-level stress are the physical environment, workload and ambiguity of duties. It also showed that the incidence and severity of accidents increased as stress levels increased. CONCLUSION: This study shows high prevalence of job stress amongst drivers in Ilam. The main causes of the prevalence of stress among drivers in Ilam City are physical environment, workload and ambiguity of duties, responsibility