Purpose The objective of this systematic review was to identify, collate and analyse the current available evidence on the effectiveness of workplace-based rehabilitative interventions in workers with upper limb conditions on work performance, pain, absenteeism, productivity and other outcomes. Methods We searched Medline, Cochrane Library, Scopus, Web of Science, Academic Search Premier, Africa-Wide Information, CINAHL, OTSeeker and PEDro with search terms in four broad areas: upper limb, intervention, workplace and clinical trial (no date limits). Studies including neck pain only or musculoskeletal pain in other areas were not included. Results Initial search located 1071 articles, of which 80 were full text reviewed. Twenty-eight articles were included, reporting on various outcomes relating to a total of seventeen studies. Nine studies were of high methodological quality, seven of medium quality, and one of low quality. Studies were sorted into intervention categories: Ergonomic controls (n = 3), ergonomic training and workstation adjustments (n = 4), exercise and resistance training (n = 6), clinic-based versus workplace-based work hardening (n = 1), nurse case manager training (n = 1), physiotherapy versus Feldenkrais (n = 1), and ambulant myofeedback training (n = 1). The largest body of evidence supported workplace exercise programs, with positive effects for ergonomic training and workstation adjustments, and mixed effects for ergonomic controls. Ambulant myofeedback training had no effect. The remaining three categories had positive effects in the single study on each intervention. Conclusion While there is substantial evidence for workplace exercise programs, other workplace-based interventions require further high quality research. Systematic review registration PROSPERO CRD42017059708.

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In the local universe, OH megamasers (OHMs) are detected almost exclusively in infrared-luminous galaxies, with a prevalence that increases with IR luminosity, suggesting that they trace gas-rich galaxy mergers. Given the proximity of the rest frequencies of OH and the hyperfine transition of neutral atomic hydrogen (H i), radio surveys to probe the cosmic evolution of H i in galaxies also offer exciting prospects for exploiting OHMs to probe the cosmic history of gas-rich mergers. Using observations for the Looking At the Distant Universe with the MeerKAT Array (LADUMA) deep H i survey, we report the first untargeted detection of an OHM at z > 0.5, LADUMA J033046.20−275518.1 (nicknamed “Nkalakatha”). The host system, WISEA J033046.26−275518.3, is an infrared-luminous radio galaxy whose optical redshift z ≈ 0.52 confirms the MeerKAT emission-line detection as OH at a redshift z OH = 0.5225 ± 0.0001 rather than H i at lower redshift. The detected spectral line has 18.4σ peak significance, a width of 459 ± 59 km s−1, and an integrated luminosity of (6.31 ± 0.18 [statistical] ± 0.31 [systematic]) × 103 L ⊙, placing it among the most luminous OHMs known. The galaxy’s far-infrared luminosity L FIR = (1.576 ±0.013) × 1012 L ⊙ marks it as an ultraluminous infrared galaxy; its ratio of OH and infrared luminosities is similar to those for lower-redshift OHMs. A comparison between optical and OH redshifts offers a slight indication of an OH outflow. This detection represents the first step toward a systematic exploitation of OHMs as a tracer of galaxy growth at high redshifts.

COMMENTARY INTRODUCTION Work rehabilitation refers to a structured therapeutic programme facilitating improvement in work performance for workers whose participation in work has been compromised by ill-health or disability, whether related or unrelated to work. Where this programme occurs at least partly at the place of employment, it can be referred to as workplace-based rehabilitation (WBR). WBR is often multidisciplinary in nature, but may also be practiced by occupational therapists or other rehabilitation practitioners in isolation. WBR may have inherent benefits over traditional rehabilitation based at clinics, hospitals or work rehabilitation centres. These include:  Early identification of loss of function related to ill-health/ disability.  Inclusion of workplace supervisors and managers in the therapeutic process.  Collaboration with on-site occupational health doctors and nurses.  Reduced travel time and costs for workers, with resultant reductions in loss of work time.  Use of the worker's actual job tasks in rehabilitation.  Customisation of rehabilitation programme to the industry.  Early return to work with reduction in sick leave 1. Upper limb conditions are amongst the most common causes of ill-health and disability in the workplace, both internationally 2,3 and locally 4. A cross-sectional field survey of South African employees (n=15663) in 2012 found that 47% of employees experienced repetitive strain injury (RSI)-related symptoms in their neck, shoulder and upper back 5. While all provinces and races were represented, the sample consisted of educated participants, ranging from a Grade 8 to a doctoral degree. This is unlikely to be fully representative of the South African workforce. The incidence of upper limb pain amongst South African workers with lower educational levels could