...RESEARCH Proposing a carpal tunnel treatment centre: The Shouldice model revisited Hazim Sadideen, Faddy Sadideen ABSTRACT The Shouldice Hospital prides itself with excellent hernia repair outcomes. The Shouldice concept exhibits a unique, successful business model, and is a clear example of the concept of a highly innovative value proposition. Exploring Shouldice's fundamental principles and extrapolating them to other settings might help healthcare professionals offer improvements to patient care. Carpal tunnel syndrome (CTS) is the most common elective hand disorder, which can be debilitating for patients. Surgical intervention is extremely effective when necessary. It would be prudent to develop efficient pathways for the treatment of CTS, and other common disorders in the future. This review aims to explore the successes behind the Shouldice model, cross-fertilise surgical and management grounds by familiarising surgeons with the Shouldice model to help generate key ideas for the future, and extrapolate key information to postulate the 'carpal tunnel treatment centre' as a potential enterprise that can be designed on the basis of the Shouldice model. Optimal healthcare delivery while improving the patient journey, in a cost-effective manner, requires careful planning and execution. It is important to further explore and capitalise on this knowledge, to improve our service to patients and the multidisciplinary healthcare workforce, particularly in light of restructuring...
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...preserve their health. According to previous studies, the majority of computer workers experience some eye or vision symptoms, but what was not clear was if whether these problems occur to a greater extent in these workers than in others who work in other visually demanding occupations. A national survey of doctors of optometry found that more than 14% of their present patients with eye or vision-related symptoms resulting from computer work. Working on a computer for a long period of time can cause different types of forearm and wrist CTDs, which are inflammation of tendons, nerve sheaths, and ligaments and damage to the soft tissues. Tenosynovitis, ganglion cysts, de Quervain’s disease, lateral epicondylitis, and carpal tunnel syndrome are different types of CTDs caused by computer use. Symptoms of CTDs are pain, numbness, tingling, or weakness in muscles or movement of arms, hands and fingers. The Health and Safety Work Act explains how employers must minimize risks for all workers and also the legal standards for computer equipment. There are four main regulations that cover the use of computer equipment under the Health and Safety Work Act. These regulations are the Health and Safety (Display Screen Equipment)...
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...Week 5 Assignment 1 Camia Parker Psychology 100 Professor Marino Strayer University November 2, 2013 Avoiding Stress and Factors in Human Resources Demands of today’s society along with demands on employees cause stress. A common fact in life, encounters of stress are common. The solution is how to manage stress when it arises. Many would agree it would be far better to avoid and eliminate the components of stressors. Time management, time allocation, setting goals, and being effective are ways to create a productive and pleasant work atmosphere for employers as well as employees. “You reach inside yourself to discover your personal resources, of what it takes to match them to the challenge.”(http.//thinkexist.com/quotes/arnorld_palmer/) Many challenges may be eliminated by using personal resources. When it comes to stress the importance is defining the factor. “a physical, chemical, or emotional factor that causes bodily or mental tension”(Merriam Webster’s Collegiate Dictionary, 2006, p. 1247.) Emotional stress has been related to job strain, tension and burnout. Physical stress may be a form of genetics. Some individuals are more likely to pressure from outside sources. Many job requirements place physical stress on the body. Including posture and standing for long periods of time. Reliance on informational systems for management, accounting, and human resources (HR) are a concern because they increase computer interaction time. Managing time allocation and...
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...Executive Summary The report consists of the analysis of an organization which is having a data entry department where an employee uses computer for their day to day operation to make entries. Now the organization is moving towards digitization for which they need to hire more staff, however, two of the existing employees are diagnosed with the carpel tunnel syndrome. This disease basically caused due to the repetitive motions. Now to address this issue the organization needs to create awareness in their employees. The organization decides to conduct a study on randomly selected staff and based on this they try to give following recommendations. Statement of Purpose The report is trying to focus on analyzing the cause of the problem. It will study the usage pattern of computer users and its effect on employees' health. It also look the level of awareness among the employees about the best practices. The side effect and health hazard due to repetitive motion will also be studied and analyzed. Carpel Tunnel Syndrome (CTS) Carpal tunnel syndrome caused when the median nerve is pressed or squeezed at the wrist. This nerve runs from the forearm into the palm of the hand and controls sensations related to thumbs and fingers. Medical field says that it caused by a combination of genetic and environmental factors, but other factors like hypothyroidism, diabetes, heavy work or repetitive use of vibrating tools also can cause CTS. Analysis The employees are required to answer the...
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...REPEATED STRESS INJURY: A STUDY FOR BRIJLAX SYSTEM Adhish Sreekumar MHRM-2012-14 12HS60008 Executive Summary In this ever-growing field of Information Technology sector, ergonomics is a very important factor that cannot be overlooked in the information technology-working environment. This study was undertaken to assess reporting of Repetitive Stress Injury (RSI) among keyboard users in Mumbai. A questionnaire-based survey was carried out among 50 computer using clerical staffs. All the completed questionnaires were returned and data analyzed. The main findings from the present work showed symptoms such as eye problems and wrist pain, neck and shoulder pain were common among computer users. Severity of pain increased with improper working postures, inadequate ergonomic furniture and number of hours of computer use at work. Reporting of RSI was higher among females. A thorough study was done on the cause of diseases related with RSI and the importance of frequent rest periods and correct work postures were clearly understood. In conclusion, it is proposed that computer users need to be provided with an ergonomically conducive environment as well as to be educated and trained with respect to RSI. Implementation of such program(s) will go a long way towards preventing appearance of RSI symptoms among the young population currently engaged in the IT sector with us. CONTENTS 1. INTRODUCTION ...
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...COMPENSATION LAW Beverly Tull was employed by Atchison since 1989 and began having hand, wrist, and shoulder pain in the fall of 1999. She was referred to a physician who noted in April 2000 that her carpal tunnel syndrome was "severe enough" for surgery. In June 2000, the physician sent a letter to Atchison stating that Tull expressed to me that her shoulder is actually hurting more than her hands, and she has been anxious to have her carpal tunnel released since very early this year. However, she seems to be somewhat of a silent sufferer and has been willing to hold off on surgical intervention. However, we are having trouble with insurance coverage. Also, she has used an extra dose of Celebrex to control her pain so she can get some sleep at night. Tull filed her application for hearing in August 2000, designating her date of injury as September 8, 1999. The administrative law judge (ALJ) was informed that Tull had yet to receive the care recommended by Atchison's designated treating physician due to a dispute between Atchison's insurance carriers. At a preliminary hearing in November 2000, neither Fireman's nor Superior would authorize treatment for Tull, so the ALJ ordered medical expenses paid by both carriers and Atchison. Tull underwent a left carpal tunnel release surgery on December 11, 2000, and returned to work approximately 6 weeks later on January 23, 2001. At a February 7, 2001, hearing, neither the surgeon's bill nor the hospital bill had been paid...
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...stress. The most common first aid treatment of muscular injuries is known by the acronym RICE. These letters stand for Rest, Ice, Compression, and Elevation. Rest and ice are recommended for the first few days after the injury to ease pain. Compression, such as wrapping with a stretch bandage, and elevation help minimize swelling. Within an everyday workplace a keyboard set up improperly may require the user to twist and bend the wrist, forcing the hand out of its neutral position (that is, the position requiring the least amount of effort). That causes irritation and strain to muscles, ligaments and tendons. You can find ergonomic products everywhere in today’s society these products help to eliminate and reduce the odds of carpal tunnel syndrome (CTS) and activities of daily living (ADL). Many companies now offer pneumatic ergonomic desks that can accommodate either sitting or standing. These work stations are fantastic, particularly for people with lower back pain. Studies have shown that less pressure is placed on the discs of the lower back when we are standing. If you have lower back pain and are forced to sit in an office chair all day, get up and walk around regularly! Yes, a pneumatic office desk that accommodates sitting and standing is more expensive in the short term. But long term benefits however far out way initial cost. Companies end up paying higher healthcare premiums for employees riddled with orthopedic problems. In each of the areas of joints...
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...Carpal Tunnel Syndrome is a condition that is painful in one or both of the hands or wrists. It is seen in older age, caused by repetitive movement of the hand or wrist over a long period of time. When the median nerve that pass through the wrist is compressed or pinched. The family provider is able to test the median nerve. With the test the family provider result are able to diagnosis for carpal tunnel. There are surgeries that are able to take the pressure or pinched never to relief the tingling, numbness, or burning. With non-surgical treatments use injections, stretching out the hand and or taken medications are offered to help reduce the pain. There are also many ways to prevent Carpal Tunnel Syndrome. Carpal Tunnel Syndrome is a painful condition that takes place in one or both the hands and wrists to the fingers. Carpal tunnel is caused by the compression or by the median nerve being pinched between the bones and muscles. The nerve passes through the carpal to the fingers. While the nerve travels through the carpal the metacarpal to the phalanges alongside the tendons of the hand. Repetitive movement that are done on a daily bases from typing, sewing, beading, holding a book, etc. over a long period of time causes the nerve to become compressed or pinched. Also, from fluid retention when the blood...
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...Section 1-2 Ex. 26 Surgery vs. Splints – A study compared surgery and splinting for subjects suffering from carpal tunnel syndrome. It was found that among 73 patients treated with surgery, there was a 92% success rate. Among 83 patients treated with splints, there was a 72% success rate. Calculations using these results showed that if there really is no difference in success rates between surgery and splints, then there is about a 1 in 1000 chance of getting success rates like the one obtained in this study. a. Should we conclude that surgery is better than splints for the treatment of carpal tunnel syndrome? It would be unfair to make such a conclusion. There are pieces of data missing: age of the patients, current health conditions of the patients, and prior treatments the patients had for this condition. b. Does the result have practical significance? The study did not generate enough viable results to make it practical for any use other than to ensure that a greater investigation should be conducted to verify the differences between the two treatment methods. These results were most likely voluntary responses, making the data gained, fairly useless. c. Should surgery be the recommended treatment for carpal tunnel syndrome? No, there is no defined level of severity for each patient. Without that information a logical recommendation for treatment cannot be assigned. Section 1-3 Ex. 30 Cloning Survey – A Gallup poll of 1012 randomly surveyed adults found that...
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...Hypothyroidism (Underactive Thyroid) Hypothyroidism, also called underactive thyroid disease, is a common disorder. With hypothyroidism, your thyroid gland does not make enough thyroid hormone. The thyroid gland is located in the front lower part of your neck. Hormones released by the gland travel through your bloodstream and affect nearly every part of your body, from your heart and brain, to your muscles and skin. The thyroid controls how your body's cells use energy from food, a process called metabolism. Among other things, your metabolism affects your body’s temperature, your heartbeat, and how well you burn calories. If you don't have enough thyroid hormone, your body processes slow down. That means your body makes less energy, and your metabolism becomes really slow. The most common cause of hypothyroidism is thyroiditis. Thyroiditis is an irritation of the thyroid gland. Thyroiditis is an autoimmune disorder. With this, your body produces antibodies that attack and destroy the thyroid gland. Thyroiditis may also be caused by a viral infection. There are also many other causes of hypothyroidism. Women, particularly older women, are more likely to develop hypothyroidism than men. You are also more likely to develop hypothyroidism if you have a close family member with an autoimmune disease. Babies with hypothyroidism may have no symptoms. If symptoms do occur, they can include: * Cold hands and feet * Constipation * Extreme sleepiness * Hoarse cry ...
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...forbidden now. Another is damages and jury trials which allow successful plaintiffs to collect back pay awards. Now they are allowed to collect punitive and compensatory damages to people claiming sex, religion, or disability discrimination. * * The Age Discrimination and Employment Act of 1967 prohibit discrimination against people who are 40 or older. Employees have been terminated and replaced by younger employees and have had jokes told about their old age which caused the lawsuits. * * The Americans with Disabilities Act prohibits discrimination against individuals with disabilities who are able to perform the essential functions of the job with or without reasonable accommodation. An employee who has carpal tunnel syndrome ability was restricted to use pneumatic tools at work filed a suit yet lost it. *...
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...I Love Medical Profession Like This Page · Yesterday via PostCron EVERY ONE MUST SHARE THIS 5 Cancer-Fighting Spices By Veronica Peterson, Editor, Healthy & Green Living They’re pretty, delicious and drumroll please…they’re good for you! Yes, I’m talking about the secret our forefathers knew way back in the day. Spices have untapped health benefits and have recently been stealing the scene as powerful cancer preventatives and fighters. Below are five you might want to consider adding to your diet. 1. Garlic No surprise here. The stinking rose is one of the most potent weapons in preventing cancer, particularly colon cancer. Containing the photochemical allicin, garlic stimulates the production of cancer-fighting enzymes. Daily garlic consumption can lower total cholesterol and triglyceride levels by 10 percent and has the added benefit of keeping vampires at bay. 2. Ginger For centuries, grandma has been prescribing this knobby little root for an upset tummy but we now know that it holds anti-inflammatory properties, shows promise in treating cancer, osteoarthritis and, when used topically, rheumatoid arthritis. It can be used as an appetite stimulant, and a treatment for nausea, whether legit (flu) or not-so-legit (hangover). 3. Cinnamon Besides being a yummy addition to coffee, cinnamon protects against Type 2 diabetes and heart disease. Derived from tree bark, this wonderful spice stimulates the bodies circulatory systems. Just half a teaspoon taken...
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...Carpal Tunnel Carpal Tunnel Syndrome is a common injury among people who work with their hands a lot. Jobs and hobbies such as a heavy duty mechanic and sewing will often lead to this injury and have people asking why does this happen. This injury can prevent the play of many of our favourite sports and can cause pain up through the arm that it affects. Carpal Tunnel can affect a person’s feel which is extremely crucial in sports such as golf, tennis, billiards, and many more. However there are treatments that can be made to combat Carpal Tunnel. These treatments are not absolute guarantees as there have been complications following Carpal Tunnel treatment. Carpal Tunnel is a sport’s injury that can take effect in almost anyone and the signs symptoms and treatments should be known to each person. Carpal Tunnel is defined by the Electronic Text Book of Hand Surgeries (n.d.) as “the effect of pressure on the median nerve, one of the main nerves of the hand. It can result in a variety of problems, including pain, tingling, numbness, swelling, weakness or clumsiness of the thumb, index, middle and ring fingers.” Carpal Tunnel is contracted most commonly through typical daily activities that we do as hobbies, in our work, or just normal everyday life. Pub-Med Health describes these activities as all being possible contributors to Carpal Tunnel Syndrome; driving, sewing, assembly work, painting, writing, use of tools, some sports such as racquetball and handball, and playing a...
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...The main health concerns that affect people at work are ergonomic issues associated with desk or office work. Issues like carpal tunnel syndrome, which causes tingling, numbness and pain in the wrist. According to the National Institutes of Health carpel tunnel is caused by repetitive motion of the wrists typing on a key board (NIH, 2012). Back pain caused by sitting for hours, especially if the employee has bad posture, is another major workplace health concern. Employees who spend hours a day staring at a computer screen may develop eyesight issues or headaches (Dias, 2015). There are many factors that cause stress like, lack of Sleep, poor diets and health, relationships, and finances. Workplace stress is one of the most common forms of stress aaccording to research conducted by the Centers for Disease Control and Prevention (CDC), the percentage of Americans who are stressed at work is high, and it’s only going to increase in the suture. An occupational safety survey conducted by the CDC revealed that between 29% and 40% of Americans have some levels of workplace stress. Another survey by the CDC determined that 26% of workers are stressed to the point of burnout (CDC, 2014). There are many ways to reduce office stress like, prioritizing deadlines and workplace tasks, sticking to an exercise routine or talking short walks during the day can help reduce stress. Talking with co-workers in a break area or just stepping away from work for a few minutes to recharge can help...
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...Fingerspelling 02-05-13 Joyce L. Groode: Key Notes and Commentary Lesson one * Numbers and fingerspelling are similar in hand shapes but will not be covered in this unit * Joyce did not learn to fingerspell until she was 9 years old * Overall goal- historical changes, variation of shapes, loan signs * Joyce strongly dislikes the ABC cards because it is not the proper way to learn how to fingerspell. * Her method is to unlearn the ABC’s and relearn them as whole units and not individual letters * Children with deaf parents learn fingerspelling as units not letters. They later learn the individual signs in school. * We have to change, and establish a new habit of reading fingerspelling as whole words based on the shape. The three C’s * Children go through phases- see as whole units, omit letters when fingerspelling, after learning to read and write they can then spell correctly. * Word shape= configuration * Closure filling in the gaps by making educated guessed * Context- anticipated or predicts what might be coming in a finger spelled word that idea of expectation or anticipation is very much like using what you know of the English language or what you know of the situation or topic of conversation to provide a context. Lesson Two * Research shows most deaf people look in the area of the thought to keep up with the whole conversation.to pick up the facial, body expression fingerspelling, and the overall space. * Practice...
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