BACKGROUND Besides return to work(RTW)and return to sports(RTS),patients also prefer to return to daily activities(RTA)such as walking,sleeping,grocery shopping,and domestic work following total knee arthroplasty(TKA)...BACKGROUND Besides return to work(RTW)and return to sports(RTS),patients also prefer to return to daily activities(RTA)such as walking,sleeping,grocery shopping,and domestic work following total knee arthroplasty(TKA).However,evidence on the timelines and probability of patients’RTA is sparse.AIM To assess the percentage of patients able to RTA,RTW,and RTS after TKA,as well as the timeframe and influencing factors of this return.METHODS A retrospective cohort study with prospectively collected data was conducted at a medium-sized Dutch orthopedic hospital.Assessments of RTA,RTW,and RTS were performed at 3 mo and/or 6 mo following TKA.Investigated factors en-compassed patient characteristics,surgical characteristics,and preoperative patient-reported outcomes.RESULTS TKA patients[n=2063;66 years old(interquartile range[IQR]:7 years);47%male;28 kg/m2(IQR:4 kg/m2)]showed RTA ranging from 28%for kneeling to 94%for grocery shopping,with 20 d(IQR:27 d)spent for putting on shoes to 74 d(IQR:57 d)for kneeling.RTW rates varied from 62%for medium-impact work to 87%for low-impact work,taking 33 d(IQR:29 d)to 78 d(IQR:55 d).RTS ranged from 48%for medium-impact sports to 90%for low-impact sports,occurring within 43 d(IQR:24 d)to 90 d(IQR:60 d).One or more of the investigated factors influenced the return to each of the 14 activities examined,with R²values ranging from 0.013 to 0.127.CONCLUSION Approximately 80%of patients can RTA,RTW,and RTS within 6 mo after TKA.Return is not consistently in-fluenced by predictive factors.Results help set realistic pre-and postoperative expectations.展开更多
媒体的新闻传播就是一个隐形的舆论战场,在信息爆炸式传播的当下,谁在新闻报道上抢占了先机,谁就赢得舆论的主导权。Cable News Net work和China Daily是两家极具代表性新闻媒体,是中美两国国际传播的重要力量。所以本文选取这两家媒体...媒体的新闻传播就是一个隐形的舆论战场,在信息爆炸式传播的当下,谁在新闻报道上抢占了先机,谁就赢得舆论的主导权。Cable News Net work和China Daily是两家极具代表性新闻媒体,是中美两国国际传播的重要力量。所以本文选取这两家媒体作为切入点,在国际关系的视角下对其国际传播战略进行比较研究,并且选择具有代表性的地缘热点事件——南海仲裁事件进行分析,使研究更加具有针对性,且更加深入。同时对China Daily的国际传播战略提出合理性建议。展开更多
Introduction: This study aimed to identify the variables explaining retained activity level for working women with breast cancer;the variables correlating with their performance in daily activities they prioritize;and...Introduction: This study aimed to identify the variables explaining retained activity level for working women with breast cancer;the variables correlating with their performance in daily activities they prioritize;and factors facilitating or restricting their return to work. Method: Sixty working women with breast cancer aged 25 - 65 years completed a personal data questionnaire, the modified Activity Card Sort, the Canadian Occupational Performance Measure;and two open- ended questions about facilitators and barriers to work. Results: Activity levels dropped by a quarter following BC treatments. Most women (67%) decreased their weekly working hours, although a third identified work as their highest priority. A higher total retained activity level was explained by fewer limitations on the range of motion (upper extremity), age younger than 45 years, and higher educational attainment. Cognitive limitations and limited range of motion negatively correlated with retained activity level at work. Personal and disease factors, job demands, and environmental factors facilitated or restricted return to work. Conclusion: Interventions should focus on physical and cognitive rehabilitation to regain functioning in the context of work and productive daily activities. Special attention should be paid to the greater needs of younger women.展开更多
文摘BACKGROUND Besides return to work(RTW)and return to sports(RTS),patients also prefer to return to daily activities(RTA)such as walking,sleeping,grocery shopping,and domestic work following total knee arthroplasty(TKA).However,evidence on the timelines and probability of patients’RTA is sparse.AIM To assess the percentage of patients able to RTA,RTW,and RTS after TKA,as well as the timeframe and influencing factors of this return.METHODS A retrospective cohort study with prospectively collected data was conducted at a medium-sized Dutch orthopedic hospital.Assessments of RTA,RTW,and RTS were performed at 3 mo and/or 6 mo following TKA.Investigated factors en-compassed patient characteristics,surgical characteristics,and preoperative patient-reported outcomes.RESULTS TKA patients[n=2063;66 years old(interquartile range[IQR]:7 years);47%male;28 kg/m2(IQR:4 kg/m2)]showed RTA ranging from 28%for kneeling to 94%for grocery shopping,with 20 d(IQR:27 d)spent for putting on shoes to 74 d(IQR:57 d)for kneeling.RTW rates varied from 62%for medium-impact work to 87%for low-impact work,taking 33 d(IQR:29 d)to 78 d(IQR:55 d).RTS ranged from 48%for medium-impact sports to 90%for low-impact sports,occurring within 43 d(IQR:24 d)to 90 d(IQR:60 d).One or more of the investigated factors influenced the return to each of the 14 activities examined,with R²values ranging from 0.013 to 0.127.CONCLUSION Approximately 80%of patients can RTA,RTW,and RTS within 6 mo after TKA.Return is not consistently in-fluenced by predictive factors.Results help set realistic pre-and postoperative expectations.
文摘Introduction: This study aimed to identify the variables explaining retained activity level for working women with breast cancer;the variables correlating with their performance in daily activities they prioritize;and factors facilitating or restricting their return to work. Method: Sixty working women with breast cancer aged 25 - 65 years completed a personal data questionnaire, the modified Activity Card Sort, the Canadian Occupational Performance Measure;and two open- ended questions about facilitators and barriers to work. Results: Activity levels dropped by a quarter following BC treatments. Most women (67%) decreased their weekly working hours, although a third identified work as their highest priority. A higher total retained activity level was explained by fewer limitations on the range of motion (upper extremity), age younger than 45 years, and higher educational attainment. Cognitive limitations and limited range of motion negatively correlated with retained activity level at work. Personal and disease factors, job demands, and environmental factors facilitated or restricted return to work. Conclusion: Interventions should focus on physical and cognitive rehabilitation to regain functioning in the context of work and productive daily activities. Special attention should be paid to the greater needs of younger women.
