Troublesome nocturnal coughing episodes which may include vomiting should prompt investigation into recently acquired pertussis, gastroesophageal reflux and more frequently asthma, especially in children.
To study whether job strain, that is, psychological job demands and decision latitude, and sleep disturbances among persons with occasional neck/shoulder/arm pain (NSAP) are prognostic factors for having experienced at least one episode of troublesome NSAP, and to determine whether sleep disturbances modify the association between job strain and troublesome NSAP.
The objective of this study is to determine whether depression is an independent risk factor for onset of an episode of troublesome neck and low back pain.
Report of at least one episode of troublesome NSAP in 2010.
27 The outcome of having experienced an episode of troublesome NSAP during the previous 6 months was based on two questions in the 2010 follow-up survey.
We therefore sought to study whether these conditions are prognostic factors for having experienced at least one episode of troublesome NSAP during the previous 6 months.
High strain and active jobs were associated with having experienced at least one episode of troublesome NSAP during the previous 6 months in persons with sleep disturbances, but not in individuals without sleep disturbances.
While most of the hypomania reported in this study was brief and self-limited, in a sample of patients who are all receiving treatment, the high frequency of hypomanic symptoms occurring outside of a DSM-IV episode is troublesome.
After control for confounding, high strain and active jobs at baseline were associated with at least one episode of troublesome NSAP experienced during the 6 months prior to follow-up in 2010 (table 2).
Crude associations between (1) active jobs (high job demands/control) (2) passive jobs (low job control/demands) and (3) high strain as discrete factors on the one hand, and as a new episode of troublesome NSAP on the other, were calculated.
