Biomedical subjects
Publications and source records attributed to A S Kasdan.
A retrospective chart review of 516 patients with 719 trigger fingers was undertaken to determine the relationship between trigger finger and occupation. Of the 516 patients, 361 were employed. One hundred seventy-eight (34.5%) of the employed patients had trigger fingers related to heavy lifting and/or high force gripping activities. The decision of causation is arbitrary and not based on science.
Carpal tunnel syndrome is all too frequently believed to be strictly a work related disease. A retrospective analysis of 1,884 carpal tunnel patients examined by one hand surgeon between 1977 and 1992 were evaluated for their rate of employment. Twenty-five percent of these CTS patients were not employed at the time their symptoms developed. We conclude that a significant rate of CTS illness exists in the nonemployed population.
The role of the nurse is valuable in laying the groundwork for the assessment of the patient with numbness, tingling, and/or upper extremity pain. Through the initial history the nurse can establish rapport with the patient and provide a good chronology of the problem. This can assist the physician with the physical examination.
Correct and immediate care can significantly reduce the debilitating effects of Scorpaenidae evenomation. The lack of immediate heat application to the wound in our case report may have contributed to the complications and eventual loss of motion in the affected area, since the toxic ingredient, a nondialyzable protein, remained active.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Routine preoperative testing on patients undergoing elective and emergency surgery has identified life-threatening illnesses unknown to the patient. Over a six-year period, 34 patients were found to have such medical problems, including cancer, diabetes, heart disease, tuberculosis, pneumonia, Paget's disease, and sarcoid.
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Return-to-work programs are no longer luxuries that only the major industries can afford to provide. Direct cost savings can be documented with the use of such programs, but just as important is the message that the company cares and looks out for the employee's best interest. The occupational medicine team's responsibility to the patient and the employer no longer ends with the provision of quality medical treatment. The ultimate goal is to return the patient to his or her job. Return-to-work programs successfully facilitate that process.