Isr Med Assoc J
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Professional drivers have been found to be at high risk for developing low back pain. However, the exact reasons are poorly understood. ⋯ Work-related ergonomic and psychosocial factors showed a significant association with LBP in Israeli professional urban bus drivers. Prevention of work-related stress, organizational changes targeted to reduce stressful situations, improvement in seat comfort, and encouraging regular sports activity need to be evaluated as prevention strategies for LBP in professional bus drivers.
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Randomized Controlled Trial Comparative Study
Improving combined diabetes outcomes by adding a simple patient intervention to physician feedback: a cluster randomized trial.
Research on synergistic effects of patient targeted interventions combined with physician-targeted interventions has been limited. ⋯ Compared to physician-feedback alone, a dual intervention combining a patient letter with physician feedback produced modest improvements in glycemic, lipid and blood pressure control individually, but substantial improvement in a combined measure of these three outcomes together. Using composite outcomes may detect meaningful improvements in the management of complex chronic disease.
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Blunt chest trauma can cause severe acute pulmonary dysfunction due to hemo/pneumothorax, rib fractures and lung contusion. ⋯ Late after severe trauma involving lung contusion, substantial recovery was demonstrated with improved pulmonary function tests. These results encourage maximal intensive care in these patients. Further larger studies are required to investigate different factors affecting prognosis.