When analysing the legitimacy of the welfare state, perceptions of the overuse and underuse of welfare are of great importance. Previous literature suggests that many people perceive overuse (misuse or fraud), and there is evidence that people also perceive underuse (non-take-up) of welfare benefits. Perceptions of overuse have therefore been called ‘the Achilles’ heel of welfare state legitima...

From the Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan. Correspondence to: Yen-Yu Chen, MD. Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan. No.135, Nan-Hsiao St., Changhua City, Changhua County 500, Taiwan. E-mail: [email protected] A B Patients with primary headaches, especially migraine, often need symptomatic medications. Prolonged and fr...

Rest is a common treatment for overuse injuries, but its effectiveness on gene expression has not been systematically evaluated under controlled experimental conditions. We asked whether genes regulated in the supraspinatus tendon as a result of overuse would return to normal levels after 2 or 4 weeks of rest. We used a rat model of tendon overuse that generates reproducible changes in the hist...

205 Cardiovascular disease is the leading cause of death in the United States and constitutes 17% of overall national health expenditures, with noninvasive testing contributing much of the cost growth in recent years. Cardiovascular medicine has long been at the forefront of evidence-based practice, with arguably the longest-standing and most comprehensive array of efforts to measure risk facto...

CONTEXT Overuse injuries of the musculoskeletal system in immature athletes are commonly seen in medical practice. EVIDENCE ACQUISITION An analysis of published clinical, outcome, and biomechanical studies of adolescent epiphyseal and overuse injuries was performed through 2008 to increase recognition and provide treatment recommendations. RESULTS Adolescent athletes can sustain physeal and...

BACKGROUND Very little is known about the injury characteristics of beach volleyball. PURPOSE To describe the incidence and pattern of injuries among professional male and female beach volleyball players. STUDY DESIGN Cohort study--retrospective injury recall and prospective registration. METHODS Injuries occurring over a 7.5-week interval of the summer season were retrospectively registe...

BACKGROUND Little information exists on the illness and injury patterns of athletes preparing for the Olympic and Paralympic Games. Among the possible explanations for the current lack of knowledge are the methodological challenges faced in conducting prospective studies of large, heterogeneous groups of athletes, particularly when overuse injuries and illnesses are of concern. OBJECTIVE To d...

Many Veterans Affairs physicians are familiar with the steady stream of reminders generated by our electronic medical record system to order laboratory and screening tests. These reminders help clinicians meet guidelines and performance targets for screening and prevention. However, the article by Virani and colleagues demonstrating substantial overuse of repeated lipid testing in a Veterans Af...