Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Insurance, Accident”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 703 records · Page 39Linked to original sources
PubMed1977

[Important occupational diseases and their prevention].

In spite of the increasing industrialization no increase in tht total number of occupational diseases has been registered during the past 10 years. This fact must mainly be attributed to the improvement in the security measures taken in all occupational fields and the extension of the occupational medical care. Nevertheless, we are actually faced with a high number of occupational diseases. While the frequency of diseases diminished obviously for some occupational diseases, it increases for others partly considerably. The change in the structure of the statistics concerning occupational diseases is, amongst others and besides the continuous change of technic and the development of new products, also due to alterations of the law respective to the accident insurance right. In this connexion it is referred to the deafness due to noisy working conditions. Among the 10 most frequent occupational diseases, which are mainly manifested in internal organs, some--like pneumoconioses and lead-poisoning--are regarded as classic but still actual occupational diseases. Contrary to this, other occupational diseases--like asthma bronchiale or health injuries by halogen-hydrocarbon--became increasingly important only during the last few years. Corresponding details are given. The danger of health through working material or working methods will in most cases be recognized only after years of occupation. Very often the discovered diseases at that time are no longer reversibel. Consequently, the main task of the doctors for occupational diseases is the prevention of occupational diseases. In 1971 the professional associations put together, in cooperation with occupational medical experts, uniform principles for the necessary preventional examinations in the field of occupational medicien. The quality of the tests carried out with reference to suitability and supervision of working places as well as the extension of such tests to all fields of occupational danger will determine whether or not the number of occupational--therefore not fatal-diseases will decrease essentially.

Asthma↗
PubMed1995

[Reconstruction or amputation in complex fractures of the tibia. A comparative study with special reference to insurance medicine aspects].

As an introduction to the subject, a historical retrospective review of the pension-related outcome of fractures of the tibia and fibula is presented. Analysis of the past 50 years shows a continuous reduction in the frequency of the award of pensions in such cases, from 36% to 2.2%. A retrospective Swiss study is then presented, in which 18 patients with below-the-knee amputations are compared with 21 patients with limb-salvage of the lower leg. Medical insurance parameters such as length of hospitalisation, number of operations, duration of rehabilitation and the level of rehabilitation achieved, with the degree of functioning of the leg and any occupational changes are considered, and finally the frequency of the award of pensions and the costs involved are determined and compared. According to these results, better overall functioning of the leg can today be achieved in the cases with successful limb-salvage; when costs are compared, taking into account the pension costs, in this Swiss study limb-salvage is the most economical solution. These results are in contrast to an American study which shows a medically and economically more favourable outcome in the case of amputations. In order to obtain better results with the costly limb-salvage procedures, improvements and advances in diagnosis, surgical techniques and rehabilitation are required. These requirements from the American study can be endorsed although, the Swiss study presents more favourable results. Both studies cover very heterogeneous patient populations and may be compared only conditionally.

Amputation, Surgical↗
PubMed1997

Fraud worries insurance companies but should concern physicians too, industry says.

The amount of insurance fraud is increasing in Canada. This should worry physicians, because all personal-injury claims must be substantiated by a medical certificate. The vast majority of physicians are honest and ethical, fraud investigators say, but some are being duped as patients scheme to cheat the insurance industry. In one sensational auto-insurance-fraud case, some Ontario physicians are being investigated about possible involvement in a self-referral scheme. Nicole Baer looks at insurance fraud and the challenges it poses for doctors.

Automobile Driving↗
PubMed1997

Managed health care and orofacial pain.

Dental and insurance communities must find common ground to manage orofacial pain effectively. By screening patients with orofacial pain for earlier referral, the incidence of improper medical utilization and the potential for chronic pain may be reduced.

Cost Control↗
PubMedDate not supplied

[Clinico-statistical investigation about cement dermatitis in Italy].

To define the prevalence of cement dermatitis (allergic contact dermatitis-ACD-and irritant contact dermatitis-ICD), two retrospective studies have been carried out in Italy: the first one based on the analysis of dermatitis cases ascribable to cement as defined by INAIL (Italian Institute for Industrial Accidents Insurance) from 1984 to 1992; the second one by surveying cement dermatitis cases in workers in the building industry aged between 16 and 70 carried out by Istituto di Clinica Dermatologica dell'Università di Bari from 1988 to 1994. The survey on INAIL data showed that in the years take into account 5,290 dermatitis cases included in item 41 of the occupational diseases table have been defined. About 80% of these cases have been observed in workers working as bricklayers and floor-layers. Therefore, given the remarkable exposure to cement in these professions, the prevalence of cement dermatitis in Italy has been estimated to 6 cases/province/year, even though it has not been possible recognize the clinical form of cement dermatitis. Moreover, the study showed that disabling cutaneous after-effects eligible for compensation have been observed in 30% of the cases defined by INAIL. The allergologic study carried out by Clinica Dermatologica has not only defined the incidence of contact dermatitis (ACD and ICD), in building workers, but it has also extrapoled dermatitis cases due to cement. As a whole, in the years taken into account, 166 occupational or mixed ACD cases and 77 occupational or mixed ICD have been diagnosed. The incidence of contact dermatitis ascribable to cement has equalled 79% among ACD and 88% among ICD, with a ratio of about 2 to 1 in favour of allergic forms. Among the chemicals tested, potassium bichromate showed the highest frequency of cases positive to patch tests. The skin site the most affected by cement dermatitis is hand, followed by upper limbs, lower limbs and feet. In the province of Bari, in the years taken into account, an average incidence of 28.4 cases per year of the two forms of cement dermatitis has been observed.

Adolescent↗
PubMed1998

[Effectiveness of secondary preventive programs for patients with asthma and rhinitis in the baking industry].

Since 1992 the German industrial professional association for the food industry and gastronomy (Berufsgenossenschaft Nahrungsmittel und Gaststätten), which is responsible for statutory accident insurance has been offering a specific patient education programme to bakers suffering from occupationally induced obstructive pulmonary disease or allergic rhino-conjunctivitis, who do not quit their jobs and wish to continue working as bakers. The programme aims at preventing aggravation of the disease 74 male bakers with a mean duration of illness of 10 years on entering the programme were examined between 1 and 5 years (mean: 2.9) after participating in the patient education seminar. For a subpopulation of 55 of these patients spirometric measurements were available for the time before programme entry and at follow-up. Data on time spent at the bakehouse, prevalence of symptoms, frequency of symptoms at the site of working and during leisure hours, sleep disturbances and emergency situations were collected at the follow-up examination both for the time before programme entry and at follow-up, respectively. Direct ratings of the amount of changes in distress caused by the disease and of the quality of life were also obtained. The prevalence of 8 of the 9 most frequently reported symptoms decreased significantly, e.g. dysponoea from 70% to 42% and fear of suffocation from 30% to 3%. Participants reported on highly significant reductions in the frequency of disease-specific complaints during work and outside the working place, sleep disturbances and situations requiring immediate medical intervention. Between 64% and 85% of the patients experienced improvement of distress, physical and work performance, private and family life, and ability for self-management. Lung function did not deteriorate: mean FEV1 was 88% (+/- 23) at first and 90% (+/- 19) at second measurement. These results could not be explained by changes in medication. It is concluded that the programme is effective in reducing symptoms and distress and in improving quality of life in bakers with occupational respiratory disease who voluntarily continue to work as bakers.

Asthma↗
PubMed1991

[Street traffic accident--whiplash injury of the cervical spine from the viewpoint of insurance medicine].

The Swiss Accident Insurance Institute (SUVA), as the largest mandatory insurer against accidents in Switzerland, handles approximately 3000 cases of injury to the cervical spine every year, half of which are the result of traffic accidents. A considerable proportion of these involve whiplash injuries to the cervical spine. Epidemiological and statistical results according to this medical definition and based on material collected over a period of several years are presented. The assessment of these cases from the medical insurance point of view is discussed. Mild whiplash injuries are very common and as a rule they heal without sequelae. Severe whiplash injuries with massive soft-tissue damage and fractures are rare and present few problems for the causality assessment. Problemtical, on the other hand, are the not infrequent cases of whiplash injuries which initially seem to be ordinary sprains but which subsequently develop into lasting clinical syndromes that are very difficult to objectify. Further, the assessment and care of these problem cases in particular are discussed from the medical insurance point of view. In these patients, who suffer severe pain and discomfort, it is in most cases not possible to obtain any objective findings with the classical diagnostic measures of radiology, orthopaedics and neurology. They can very soon be suspected of malingering, exaggeration or pension neurosis. Only with the very sophisticated, modern diagnostic methods of neuropsychology, chiropraxis and functional computed tomography is it sometimes possible to objectify these syndromes in a reproducible manner and possibly to establish a post-traumatic instability as the cause. This then again opens up promising possibilities for the treatment of these patients. The SUVA supports research aimed at developing and testing such promising new methods of examination. However, it at the same time warns against the uncritical use of these expensive methods of examination, the informative value and the scientific validity of which are in some respects still not sufficiently well established.

Accidents, Traffic↗