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PubMed1979

[Inability to work in gastrointestinal diseases].

11.7% of all cases with inability to work, 11.3% of all days with inability to work, and 13.6% of all dismissals from hospital of working people concern diseases of the digestive system. Gastroenterological diseases occupy an anterior place in inability to work. The inability to work is essentially determined by 7 diagnoses--gastritis and duodenitis, cholelithiasis, gastroenteritis and colitis, cholecystitis and cholangitis, ulcus ventriculi and duodeni, acute appendicitis. They comprise 78% of the days of inability to work. The endoscopic diagnostics is further to be developed with the further improvement of the organisation of treatment, particularly the cooperation between outpatient department and hospital and the interdisciplinary work.

Disability Evaluation↗
PubMedDate not supplied

[Economic and social implications of post-tuberculosis syndromes].

The fact that 30.5% of patients with post-tuberculous syndromes belonging to a category of active population have been pensioned off for health reasons is a demonstration that these syndromes may play a significant role in determining the incapacity for work. The practical conclusion is that the prophylaxis of post-tuberculous syndromes--early diagnosis, chemotherapy with new drugs, and kinesitherapy--in all cases of tuberculosis at their first treatment may determine a deceased incidence of these syndromes. The reduction of the percentage of post-tuberculous syndromes recorded for 100 cases of tuberculosis treated with modern therapeutic regimens will result in a collective benefit consisting in a lower pressure on the general and specialized sanitary network with regard to the number of procedures provided. The health network potentialities could this be used for the solving of other problems of public health. At the same time by reducing the percentage of post-tuberculous syndromes, important funds can be spared, which are used for treatment, sick-leave pay, and invalidity pensions. The continuous improvement of the organizational frame of health protection in our country should consider also the official regulatory of the medico-social status of patients with post-tuberculous syndromes.

Disability Evaluation↗
PubMed1984

Heckler v. Campbell and the grid: are disability claimants entitled to examples of suitable jobs?

The Social Security Administration promulgated the medical-vocational guidelines (the grid) in 1978 in order to improve consistency and efficiency in disability claim adjudications. The grid takes administrative notice of the availability of jobs suited to claimants' capabilities, eliminating the need to make such a determination on a case-by-case basis. In Heckler v. Campbell, the Supreme Court held that the grid is valid and that the Secretary of Health and Human Services cannot be required to give specific examples of jobs available in the national economy. In so doing, the Court reversed the Second Circuit, which had required the Secretary to give claimants examples of jobs suited to their individual characteristics to assure them adequate notice of the issues involved in their hearings. This Case Comment contends that the Supreme Court misperceived the Second Circuit's purpose in requiring the Secretary to provide specific examples of available jobs. Nonetheless, the Comment argues that the Supreme Court decision does not foreclose requiring such examples to assure adequate notice and to aid in resolving adjudicative factual issues. This Comment concludes that such a requirement would improve the efficiency, accuracy and consistency of Social Security disability determinations.

Disability Evaluation↗