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PubMedDate not supplied

[Criteria for forensic medical evaluation of professional working capacity loss].

The main and additional criteria used in evaluation (in percent) of loss of professional working capacity are characterized. Criteria common for forensic medical and medical social expert evaluations and differences between them are discussed. These differences are due to the fact that forensic medical expert evaluations are based on the Civil and Civil Processual Codes of the Russian Federation but not on the departamental norm-setting documents.

Disability Evaluation↗
PubMed1999

[Evaluation of clinical findings in occupational health examinations].

Findings in occupational health examinations of a regional service are analyzed. The service provides pre-employment, surveillance and work-capacity evaluations for about 150,000 workers from many types of work-sites and occupations. The average number of pre-employment examinations (during 1993-97) was 4,800/year, and there were relevant pathological findings in about 6.6%. Most findings involved the respiratory (11%) and cardiovascular systems (10%) or eyes (10%). The average annual number of surveillance system examinations was 10,750. There were relevant findings in about 16%, mainly of the respiratory system (17%) and noise-induced hearing damage (about 80%). Work-capacity examinations constituted about 35% of the work-load (9,250 examinees/year). In 53% a significant health problem affecting an individual's job performance was identified. Pathological findings were found in the musculoskeletal (21%), cardiovascular (7.5%), respiratory (3%), and neurological systems (2%). Occupational health examinations can identify areas in which prevention and intervention or cooperation with other medical specialties are indicated, as well as specific topics requiring further training of occupational physicians.

Hearing Loss, Noise-Induced↗
PubMed1997

[Relationship between respiratory reserve in the flow-volume curve and the expected ergometric capacity].

To evaluate the physical work capacity in patients with chronic obstructive lung disease (COLD) it was checked, if determination of breathing reserve can replace the exercise test with blood gas analysis. In 28 patients with lung disease and 7 healthy subjects the flow-volume-curve under resting conditions and during the forced breathing maneuver to measure the breathing reserve and the exercise test with blood gas analysis were examined. A correlation was found between both. Therefore, in patients with COLD the determination of breathing reserve is a practicable method for estimating the physical work capacity, especially in cases with absent breathing reserve. Nevertheless, for medical opinion exercise testing is necessary.

Blood Gas Analysis↗
PubMed2004

Test-retest reliability of the Isernhagen Work Systems Functional Capacity Evaluation in healthy adults.

Aim of this study was to investigate test-retest reliability of the Isernhagen Work System Functional Capacity Evaluation (IWS FCE) in healthy subjects. The IWS FCE consists of 28 tests that reflect work-related activities such as lifting, carrying, bending, etc. A convenience sample of 26 healthy subjects participated in the study. The subjects' mean age was 34.9 years. Two FCE sessions were held within a 2-3 week interval. Descriptives per session, Intra Class Correlations (ICC), limits of agreement, Cohen's Kappa, and percentage of agreement were calculated where appropriate. An ICC of > or =0.75, a Kappa value > or =0.60, and a percentage of absolute agreement of > or =80% were considered acceptable reliability. Acceptable reliability was demonstrated for seven out of nine tests (78%) of the material handling group and the shuttle walk test based on ICC analyses only. Sixteen out of 17 criterion and ceiling tests (94%) showed acceptable reliability based on Kappa values and percentage of agreement. Of these 17 tests, 8 were eligible for further analysis, and of those 8 tests the reliability of one test was acceptable based on ICC analyses (13%). In conclusion, the test-retest reliability of the material-handling group is acceptable. Crude analyses of the ceiling and criterion tests reveal acceptable test-retest reliability of most, but not all, tests.

Adult↗
PubMed1990

Evaluating the capacity to work of the mentally ill.

This study explored the relationship between psychiatric symptomatology and the functional capacity to work. Subjects were diagnosed using DSM-III criteria and were grouped into categories of psychotic or nonpsychotic, and disabled or nondisabled, in regard to adjudication for mental impairment from the Social Security Administration (SSA). There were significant relationships between disability status and work capacity, in the direction of better performance for the nondisabled subjects. This finding reflected concordance between the evaluation procedure used in the study and the SSA's disability determination process. There was considerable overlap in work performance among subjects, however, suggesting that a functional assessment of work capacity might improve disability determination in certain cases. Results suggested that these work assessments might be as short as one or two days.

Disability Evaluation↗