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The analysis of 4 examples of the development of various psychic states in patients having acute radiation sickness of minor degree during the rehabilitation period in 7-9 months following the disaster at the Chernobyl APS showed the correlation of disease outcome with a complex of psychological factors characteristic of the disaster and the disease itself, personality and occupational characteristics of those exposed before the disaster. The findings of the complex psychological study can be used for expert appraisal and forecast of health state, mental and work capacity of the patients, their professional fitness. They can be also used for the development of rehabilitation activities.
The workers engaged in modern chemical nitrogen production before their retirement on the privileged basis because of noxious working conditions experienced the state of stress and overstress of the regulatory mechanisms, decrease of muscular and mental working capacity both at the initial stage and during the work shift, increase of chronic morbidity and temporary disability rates. These indicators were not identical in groups with different working conditions and sex structure. Among machine operators the major part of males before retirement compared to females maintained a more satisfactory level of work capacity. Disease rates and the degree of decrease of functional body capacities were higher in male metal workers in comparison with machine operators.
The aim of this study was to investigate the concurrent validity--as regarding maximum lifting capacity--between the Functional Capacity Evaluation (FCE) methods, ERGOS Work Simulator and Ergo-Kit. Twenty-five healthy, male firefighters participated. Dynamic lower and upper lifting capacities were determined using both FCE methods. Paired t tests showed the mean maximum lifting capacities to be significantly higher statistically when determined by the Ergo-Kit for lower, as well as, upper lifting. Spearman rank correlation coefficients varied between 0.49 and 0.66. It was concluded that the concurrent validity for lifting between both FCE methods was poor.
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The Work Ability Index was used as a complementary tool for the periodical health surveillance of health care workers in order to evaluate their functional working capacity and to plan more appropriate preventive and compensatory measures. 867 health care workers of both sexes (337 men, 530 women), aged between 23 to 65 years and with a work experience from 0.5 to 48 years were examined. They were physicians, registered and assistant nurses, biologists, technicians and clerks, working in hospital departments, ambulatory health care services, laboratories and offices. WAI proved to be "excellent" in 27.0%, "good" in 49.7%, "moderate" in 20.1% and "poor" in 3.2%. Women showed significantly lower mean WAI than men in all age groups, particularly among registered and assistant nurses. Women shift workers showed a more pronounced decrease of WAI over the years as compared to their colleagues day workers by increasing the number of illnesses suffered, WAI similarly decreased in all age groups, but less among physicians and clerks.
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After a brief mention of the incidence and clinical signs of hypertensive disease, stress is laid on certain social and legal medicine aspects relating above all to various prevention and medical education intervention and to rehabilitation. For an evaluation of the working capacity of the hypertense, a classification is proposed which can also be utilised for the purposes of judging pensionable invalidity as well as for assessing the risk increase coefficient for life insurance. The higher mortality percentage in relation to the seriousness of the diseases is pointed out.
The capacity of cardiac patients to work in their occupations reflects a complex interaction of medical and nonmedical factors. Medical considerations include prognosis and the ability of patients to tolerate the physical, environmental and psychological aspects of their occupation. Nonmedical factors include the patient's satisfaction with the job, economic motivation to work and perceived risk of continued work. Patients' perceptions of their capacity to work and the risks of such work are especially important determinants of occupational work status after myocardial infarction and coronary operations. Symptom-limited treadmill exercise testing carried out three to four weeks after the acute event not only clarifies prognosis and quantitates functional capacity but helps patients to realistically assess their capacity for work. Approximately half of postinfarction patients are found by such testing to have a very low first-year mortality of less than 2 percent. Functional capacity is well maintained in these patients: they do not require formal reconditioning in order to resume their occupational work soon (three to five weeks) after infarction. Exercise testing performed soon after myocardial infarction and coronary artery operation affords practical guidelines for clearing a person to return to work and obviates much of the medically unwarranted disability that follows these events.
A method of calculating the synthetic index of effort capability, based on results of submaximal effort test, has been presented. Examinations of people working at 4 workstations demonstrated that the reduced effort capability after work is proportional to work energetic expenditure. The usefulness of work fatigue analysis has been indicated, as its magnitude, when accompanied by evaluation of effort capability changes, points to static load as an additional disadvantageous factor.
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Returning the disabled worker to maximum productivity is a shared responsibility between the treating health practitioners and employers, with the insurer as an overseer of the injury management plan. Allied health professionals have responded to the need for standardized tools to assess work capacity by developing Functional Capacity Evaluations (FCEs). Literature exists outlining the limitations of FCEs in injury management systems; however, little is known about their uses and perceived usefulness. Questionnaires were posted to managers and therapists of accredited rehabilitation providers. The questionnaires consisted of both open and closed format questions. The response rate for the managers' questionnaire was 53%, while the therapists' questionnaire was 27%. The majority of rehabilitation providers use an assessment of their Own Design. Eight commercial FCEs were identified as being used. The majority of therapists use only one type of FCE. Therapists rated FCEs highly on their flexibility with Own Design assessment rated as significantly more flexible than the most frequently used commercial FCEs. From the data collected, it appears that cost is the main factor influencing choice of assessment. Level of evidence supporting capabilities of particular assessments does not appear to influence use. It seems that, despite there being poor research evidence to support the use of many brands of FCEs, they are still commonly used by rehabilitation providers. To achieve optimal use of FCEs, further research is required on the types of adaptations therapists make to commercial assessments and properties of Own Design assessments, including reliability and validity studies.