The role of nonoccupational risk exposures on reports of musculoskeletal disorders (MSDs) among full-time computer workers was investigated for 403 State office employees. The non-occupational risk exposures involving repetitive hand motions that were assessed included home computer use, domestic activities (gardening, home maintenance), hobbies (e.g. knitting) and sports (e.g. volleyball). Reports of MSDs were significantly elevated by both occupational factors (duration of keyboard use without a rest break, typing speed, typing skill) and nonoccupational factors (home computer use, gardening, crocheting and needlepoint). Reports of MSDs were not significantly affected by other occupational factors (hours of keyboard and/or mouse use, wearing corrective lens, number of times getting out of the chair) or nonoccupational factors (knitting, golf, tennis, racquetball, volleyball). The results indicate that MSD symptom reports may be the result of total exposure to certain risk factors both in and outside of the workplace.
SummaryIn summer 2019 an extracurricular activity was started at the Medical University of Vienna (MUW) with the title: “Esoterism in Medicine”, where different chapters were evaluated by students. Here we present the subheading “Vaccine Hesitancy”. Three students formulated arguments from sceptic, hesitant or anti-vaccine groups and discussed the scientific literature to rebut it. Frequent objections were partly taken from the homepage of the German Robert-Koch-Institute, the home of the “Ständige Impfkommission”. Other objections were taken from blogs and social media. The students’ rebuttal was based on current scientific literature (preferentially pubmed), but also from other scientific sources like authorities.
A 55-year-old female was referred to the Neurological Center Rosenhuegel with suspected stroke following sudden-onset sensory aphasia preceded by left-sided intermittent, pulsating ear- and headache, nausea, plus an elementary visual hallucination of bright, flashing, white lights. The ear- and headache began abruptly several days prior to arrival and were responsive to ibuprofen. The hallucinatory symptoms began suddenly after headache onset and lasted approximately five minutes. The patient also experienced aphasia immediately following the hallucinatory symptoms and was promptly transferred to the hospital. She had no known history of chronic illness, including migraines, stroke, seizures, or immunosuppression, and denied having fever or recent illness immediately prior to symptom onset. She had not been taking any regular medications, had not traveled recently, and denied alcohol and substance abuse. Family history was insignificant. Sensory aphasia was noted upon arrival at the hospital. A cranial CT-scan ruled out intracranial hemorrhage and CT-perfusion illustrated hyper-perfusion of the left occipital lobe (Figure 1). As the patient was within the appropriate time frame for thrombolytic therapy, she received intravenous alteplase due to suspected stroke and was asymptomatic the next day.
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