Defense Medical Examinations

2019 ◽  
pp. 141-164
Author(s):  
Nikki Chuml
Keyword(s):  
Medical Examinations ◽  
Defense Medical

The Value of Subjective Appreciation in the Medical Record – II. The Evalution of the General Condition of the Patient

1978 ◽  
Vol 17 (02) ◽  
pp. 103-105
Author(s):  
D. Lahaye ◽  
D. Roosels ◽  
J. Viaene
Keyword(s):  
Medical Record ◽  
General Condition ◽  
Normal Weight ◽  
Group Differences ◽  
Computer File ◽  
Real Group ◽  
Empiric Data ◽  
Medical Examinations ◽  
Lower Limits

Based on the analysis of 13,110 medical examinations performed on a standardized population of pneumoconiosis patients recorded on the F.O.D. computer file, the authors describe the value of the subjective estimations of »obesity«, »thinness« or »normal weight« by their correlation with the observed weight and height. Although there are striking differences in appreciation between the physicians performing the examinations, the qualifications »obese«, »thin« or »normal« correspond with real group differences in weight, between certain limits which can be defined. The ratio between the observed weight and the expected weight (using the Broca formula) shows the same pattern. In tins way it becomes possible to propose upper and lower limits for obesity, thinness and normal weight based on purely empiric data. Feeding back this information to the examining physicians should help reduce the differences between physicians and improve the results. Therefore, the authors find it useful to keep such information in the computer file.

DEVELOPMENT OF THE UKRAINIAN FORENSIC MEDICAL INSTITUTIONS IN THE ХХ CENTURY

2017 ◽  
Vol 17 ◽  
pp. 446-456
Author(s):  
V. V. Yusupov
Keyword(s):  
Forensic Medicine ◽  
Medical Examination ◽  
Public Health Care ◽  
Biological Research ◽  
The Public ◽  
Medical Institutions ◽  
Forensic Institutions ◽  
Post War ◽  
Medical Examinations ◽  
The Chairs

The issue of development of forensic institutions of Ukraine in the ХХ century was studied. Until 1917, forensic medical examinations were conducted in the medical compartments of the provincial administrations, at the departments of forensic medicine of universities and in hospitals - by police doctors. The chairs of forensic medicine existed in the St. Vladimir Kyiv University, Kharkiv, Novorosiisk and Lviv Universities. Real organization of Ukrainian forensic medical institutions began in 1919 with the creation of the Medical Examination Department at the People’s Commissariat of Health. In 1923, the Main forensic medical inspection, headed by M. S. Bokarius, was founded. In the provinces the positions of forensic medical inspectors were created. In 1927 the sections of biological research were established in the Kharkiv, Kyiv and Odesa institutes of scientific andforensic expertise,where separate forensic examinations were conducted. In 1949 the institutions of forensic medical examination of the USSR were merged into the Bureau of Forensic Medical Examination, in Ukraine it was held in 1951. It was proved that forensic medical institutions developed at the following chronological stages: 1) until 1917 - forensic medical service in the Ministry of Internal Affairs; 2) 1917-1941 - prewar formation of forensic medical institutions; 3) 1941-1949 -forensic medical institutions during the war and in the first post-war years; 4) 1949-1990s - period of development of the bureau of forensic medical examinations of the countries of the USSR; 5) since the 1990s - development of expert institutions in the public health care system in independent postSoviet states. It’s stressed that formation of the forensic institutions in Ukraine is closely related with the development of forensic medicine departments of higher educational establishments. Forensic medicine departments were the basisfor practicalforensic medicine, professors provided daily assistance to forensic medical experts.

Evaluation of the concentration of particulate material and its impact on the respiratory diseases of the workers of an artesanal smelting huarochirí. Lima

2018 ◽  
Vol 2 (1) ◽  
pp. 13
Author(s):  
Walter Manuel Vicharra ◽  
Carlos Cabrera
Keyword(s):  
Respiratory Diseases ◽  
San Antonio ◽  
Particulate Material ◽  
Quality Monitoring ◽  
Gravimetric Analysis ◽  
Air Quality Monitoring ◽  
Analysis Method ◽  
Particulate Materials ◽  
Health Assessments ◽  
Medical Examinations

The main objective of esta research is to determine the level of concentration of particulate materials of the size of 10 microns and 2.5 microns of an artisanal foundry, and to Evaluate the health in workers' respiratory diseases, as well as to find a relationship Between the particulate materials and the respiratory diseases, Which the project is located in the district of San Antonio, Department of Huarochiri, Department of Lima, Peru - 2017. The gravimetric analysis method approved by the General Directorate of Environmental Health DIGESA was used, with the Protocol for air quality monitoring and data management, to determine the level of concentration of particulate material and on the other hand Health Assessments in respiratory diseases Were used a survey made by a doctor in pulmonology, Which was Then backed by medical examinations performed on workers. It was Determined That the particulate materials of 10 microns and 2.5 microns Were above environmental quality standards, Which is Considered as risky for the health of people, and in respiratory diseases it was Concluded That some of the subjects of the population of study are With occupational diseases.

Results of testing of an automated system for clinical examination and preventive medical examinations

2016 ◽  
Vol 18 (12) ◽  
pp. 27-30 ◽  
Author(s):  
V.A. Egorov ◽  
◽  
L.Yu. Drozdova ◽  
A.M. Kalinina ◽  
◽  
...  
Keyword(s):  
Clinical Examination ◽  
Automated System ◽  
Medical Examinations

An occupational hazard of workers of wagon-repair production

2019 ◽  
pp. 272-277 ◽  
Author(s):  
Galina V. Kurenkova ◽  
Natalia A. Sudeikina ◽  
Elizaveta P. Lemeshevskaya
Keyword(s):  
Working Conditions ◽  
Musculoskeletal System ◽  
Occupational Risk ◽  
Working Environment ◽  
Labor Process ◽  
Control Group ◽  
Professional Groups ◽  
Wagon Wheel ◽  
Medical Examinations ◽  
Very High

Introduction. Professional groups of railway workers engaged in the repair of wagons are directly responsible for the safety of railway traffic. The analysis of literature testifies to insufficient attention of researchers to the hygienic problems associated with labor activity of workers of wagon-repair production.The aim of the study is to assess the occupational risk to the health of wagon repair workers, due to the impact on them of factors of the working environment and the labor process.Materials and methods. The study used comprehensive hygienic studies using the methodology of occupational risk to worker’s health.Results. The leading factors of the working environment (class of working conditions 3.2–3.4), which are exposed to workers depending on the specifics of the work performed. Identified professional groups with medium (significant) high (unbearable) and very high (intolerable) category of a priori occupational risk: in wagon meintenance workshop — 17 groups (94% of jobs), in a wagon assembly workshop — 11 groups (80% jobs), in wagon wheel workshop — 3 group (100% jobs). At the same time, according to the request for medical care, employees were diagnosed with isolated cases of occupational diseases.The levels of morbidity with temporary disability of employees of the main workshops are statistically significant (p<0.05) higher than those of the control group in 1.4–1.9 times. The influence of the complex of chemical factors of low and medium intensity on the levels of morbidity of respiratory diseases in the group of workers of the wagon wheel workshop, which were 1.7–2.0 times higher than in the control group, is confirmed by the average degree of causation of the production condition of this pathology (RR=1.7; EF=42.0%).The combined effect of vibration and severity of the labor process forms a high level of temporary disability of employees of the main workshops in connection with diseases of the musculoskeletal system, which was 2.7–4.4 times higher than in the control group, and also determines the prevalence of this pathology in the structure of diseases detected on medical examinations (23.2%). Diseases of the musculoskeletal system are caused by the production of employees of the wagon meintenance workshop (RR=3,9; EF=74,9%), as the most unfavorable in terms of hygiene on these factors.The stressful influence of the complex of harmful production factors on the health of wagon repair workers is manifested by the high risk of diseases of the cardiovascular system, gastrointestinal tract, neurological disorders, violation of adaptation of the cardiovascular system in 97% of the examined, as well as the predominance of diseases of the digestive system and circulatory system detected on periodic medical examinations.Conclusions. Harmful working conditions (class 3.1–3.4) cause the suspected occupational risk from small (moderate) to very high (intolerable) to 100% of the jobs of wagon repair workers. The results of the study of morbidity and risk of pathology indicate a significant risk of damage to the health of workers.

INFORMATION SUPPORT FOR MAKING MANAGEMENT DECISIONS IN THE FIELD OF PREVENTION OF EYE DISEASES AT STUDENTS BASED ON MULTI-VARIANT SIMULATION AND FORECASTING

2020 ◽  
pp. 147-153
Author(s):  
Юлия Владимировна Татаркова ◽  
Татьяна Николаевна Петрова ◽  
Олег Валериевич Судаков ◽  
Александр Юрьевич Гончаров ◽  
Ольга Николаевна Крюкова
Keyword(s):  
Preventive Measures ◽  
Influential Factors ◽  
Eye Diseases ◽  
Information Support ◽  
Factor Space ◽  
Factors Affecting ◽  
Eye Fatigue ◽  
Modeling And Forecasting ◽  
Medical Examinations

В настоящей статье представлен обзор основных решений, доступных сегодня для формирования как краткосрочных, так и долгосрочных проекций заболеваемости болезней глаза и его придаточного аппарата в студенческой среде. С другой стороны, существует ряд проблем, связанных с многообразием факторов, влияющих на заболеваемость, статистической необоснованностью и противоречивостью имеющихся результатов анализа данных. Представлены результаты математического моделирования зависимости показателя заболеваемости от наиболее влиятельных факторов образовательной и социальной среды. Перечислены важнейшие направления разработки математических моделей распространения заболеваемости. С помощью разработанного программного комплекса проведена серия вычислительных экспериментов по оценке и прогнозированию заболеваемости обучающихся в вузах разного профиля. Показана эффективность применения методики многовариантного моделирования и прогнозирования, указаны их ограничения и возможности практического применения. По расположению обобщенной области благоприятного прогноза в факторном пространстве можно определить время воздействия неблагоприятных для зрения факторов, которое должно составлять не более 10 ... 11 часов в сутки, количество профилактических мероприятий должно составлять не менее 3 ... 4. При этом риск развития миопии составит не более 0,4, вероятность усталости глаз за компьютером составит не более 0,4, вероятность дискомфорта глаз на занятиях составит не более 0,15. Исходя из характера прогноза, определяется длительность диспансерного наблюдения, а также потребность профилактических мероприятий по устранению или ослаблению действия неблагоприятно влияющих социально-гигиенических и медико-биологических факторов конкретного больного. Использование прогностической матрицы в практическом здравоохранении позволяет существенно улучшить работу по профилактике офтальмологической заболеваемости и является одним из эффективных мероприятий диспансеризации студенческой молодежи, так как дает возможность выделить из числа обучающихся группу с высоким риском неблагоприятного исхода заболевания This article provides an overview of the main solutions available today for the formation of both short-term and long-term projections of the incidence of eye diseases and its adnexa in the student environment. On the other hand, there are a number of problems associated with a variety of factors affecting the incidence, statistical unreasonability and inconsistency of the available data analysis results. The results of mathematical modeling of the dependence of the incidence rate on the most influential factors of the educational and social environment are presented. The most important areas of developing mathematical models for the spread of morbidity are listed. With the help of the developed software package, a series of computational experiments was carried out to assess and predict the incidence of students in universities of various profiles. The effectiveness of the application of multivariate modeling and forecasting methods is shown, their limitations and practical application possibilities are indicated. By the location of the generalized region of favorable prognosis in the factor space, it is possible to determine the exposure time of factors unfavorable for vision, which should be no more than 10 ... 11 hours a day, the number of preventive measures should be at least 3 ... 4. At the same time, the risk of development myopia will be no more than 0.4, the probability of eye fatigue at the computer will be no more than 0.4, the likelihood of eye discomfort in the classroom will be no more than 0.15. Based on the nature of the forecast, the duration of the follow-up observation is determined, as well as the need for preventive measures to eliminate or weaken the action of adverse social, hygienic and biomedical factors of a particular patient. The use of the prognostic matrix in practical health care can significantly improve the work on the prevention of ophthalmic morbidity and is one of the effective medical examinations for students, since it makes it possible to distinguish among the students a group with a high risk of an unfavorable outcome of the disease

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