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Clinical considerations and rationale for the use of simplified instrumentation in occlusal rehabilitation. Part 2: setting of the articulator and occlusal optimization.

In fabricating a prosthetic rehabilitation, whether it consists of just a single crown or a complete-mouth reconstruction, one of the main aims of the clinician is to simplify the procedures and reduce the time necessary to integrate it into the mouth of the patient This article completes the description of the rationale behind the selection of semiadjustable articulators and of a way to transfer to the laboratory technician valuable information that, in the case of extensive rehabilitations, will make occlusal optimization more error free.

Dental Articulators↗

Working smarter with APCs.

Are HIM professionals ready to make the most of APCs? This article suggests some strategies to improve the way we work with APCs, focus on complete and accurate coding, and improve our expertise.

Ambulatory Care↗

Healthcare Lean.

Lean Thinking is an integrated approach to designing, doing and improving the work of people that have come together to produce and deliver goods, services and information. Healthcare Lean is based on the Toyota production system and applies concepts and techniques of Lean Thinking to hospitals and physician practices.

Efficiency, Organizational↗

Similarities simplify.

Explore the source record for details and available documents.

Anesthesia Department, Hospital↗

[The working place of the disabled as a social, ergonomic and safety problem (author's transl)].

Considering the disabled's role from the societal point of view and the necessity to re-integrate him to the fullest possible extent into the working process, the author raises the question in how far the (see article) 90/91 of the Works Constitution Act is also relevant for this group of employees. The results of these considerations is the initiation of a work science focusing on the disabled, or the resolute application of work scientific findings to the disability sector. Some ergonomic and safety related considerations strengthen the claim for social integration of the disabled. They should be included - together with a number of systematic job analyses in part already carried out by the author of this article - in the training programmes of job analysists for industrial firms.

Persons with Disabilities↗

Analyzing computer based patient records: a review of literature.

A wide-ranging literature review of computer-based patient record (CPR) implementation over the past decade reveals that clinical, workflow, administrative, and revenue enhancement benefits of the CPR outweigh barriers and challenges--but only if healthcare organizations redesign certain work processes. Among other key efforts, organizations must train and motivate users to navigate CPR systems, as well as develop a common structured language. Clinicians who used CPRs found that electronic access to clinical information saves time and provides a thorough and efficient way to manage patient information.

Decision Support Systems, Clinical↗

Adaptations made by rheumatoid arthritis patients to continue working: a pilot study of workplace challenges and successful adaptations.

OBJECTIVES: The goals of this pilot study were to use qualitative research techniques in a group of currently employed patients with rheumatoid arthritis (RA) to develop categories of challenges encountered in maintaining employment and categories of successful adaptations made to continue working; and to identify obstacles considered to be persistent threats to continued employment. METHODS: Patients were interviewed by telephone with a questionnaire composed of structured-response format and open-ended response format questions focusing on specific challenges and adaptations in the workplace. RESULTS: Of the 22 patients interviewed, 96% were women, mean age was 50 years, 84% were college graduates, and the majority had light physical job demands and high autonomy over their work and hours worked. Patients encountered diverse challenges, such as fatigue, pain, typing, writing, physical requirements, maintaining a pleasant disposition, working overtime, traveling for business, commuting, being on time, not being able to choose rest periods, and environmental issues. Patients also made multiple adaptations to continue working, the most helpful being changing job or altering career path (36%), altering work hours (32%), using more disease-modifying antirheumatic drugs (27%), using car service (23%), sleeping more (18%), and working at home (14%). Patients were not at all confident in their ability to continue working because of RA, and perceived the following persistent threats to continued employment: fatigue (45%), not being able to use hands (45%), not being able to choose rest periods (27%), and commuting problems (18%). In addition, patients confronted psychological stresses, such as dealing with coworkers and supervisors and balancing job and personal roles. These challenges and adaptations included unfavorable work-related occurrences, or "negative work-role events." CONCLUSIONS: Seemingly successfully employed patients with RA faced multiple challenges and made major adaptations to maintain employment and still perceived their employment to be in jeopardy because of RA. The findings of this study have important implications for screening patients at risk for negative work-role events and for possible work-related and social support interventions aimed at preserving employment.

Activities of Daily Living↗