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[School absenteeism in adolescent girls due to gynecologic diseases and conditions].

A distribution is made of excuse for the non-attendance at school of adolescent girls, by which two groups of health disorders could be distinguished, one group including excuses for the non-attendance of up to one day for painful syndromes, contraception, menstrual trouble, examinations for suspected pregnancy, vaginal candidiasis, condyloma, pediculosis, and the inflammation of the urinary bladder, and the other group including excuses for the non-attendance of 2-5 days for non-specific inflammations of the vagina, vulva and cervix, abortion, pelvic inflammatory disorders, vaginal trichomoniasis, and injuries. Rarely encountered disorders were dealt with from case to case. The highest average number of excuse days (4.8) related to abortion. The excuse made most frequently (220) were those relating to painful syndromes, 48.1% of the total number of the excuse, averaging 1.2 days per excuse. The total average per excuse was 1.6 days.

Absenteeism↗
PubMedDate not supplied

The role of the primary care physician in reducing work absenteeism and costs due to back pain.

In many cases, the primary physician may best serve his or her patient's interests by encouraging an early return to work and avoidance of adversarial proceedings. Though data are fragmentary, it seems likely that these goals will be promoted by reassuring patients about the good prognosis of acute back pain and by avoiding alarming terminology (e.g., "injury," "ruptured disc"). Patients have a great need for explanation of their symptoms, but this can usually be met by brief, clear explanations from the physician and need not require extensive diagnostic testing. In most cases, a parsimonious diagnostic approach is appropriate, and this may reinforce the message that the illness is not serious and should be self-limited. For patients without neurologic deficits, very brief if any bed rest is necessary, and an early (if gradual) return to work is usually feasible. Many faddish treatments are widely promoted but rarely tested in a rigorous way. Anti-inflammatory drugs and intervention with adverse lifestyles (sedentariness, smoking, and obesity) provide important therapeutic and preventive opportunities.

Absenteeism↗