[Community occupational rehabilitation for women--a model project of Frankfurt am Main vocational guidance in Kassel].
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The authoress analysed 102 neurological consultations of young people to determine the adaptability to professional training. The greatest diagnostic and certificatory problems were those with cases of paroxysmal loss consciousness revealed in anamnesis, past meningitis, head trauma and headaches. Very useful for the analysis appeared to be directed anamnesis, environment, survey, and thorough critical analysis of medical records.
The deficiency of binocular vision calls for an absolute contraindication to perform a number of occupations. It is not easy to evaluate the binocular vision disturbance, especially in young people. Therefore it was decided to check the binocular vision by six methods and compare the results. Among 199 pupils of the seventh form of primary schools, the following binocular vision disturbances have been found: in 18% of subjects on stereometer, in 15% on a projector with polarizing glasses, in 14% lack of protective reflexes, in 13% on stereoscope, in 11,6% on synoptophore and lack of ambiopia after using the prism in 9% of subjects. All the tests yielded negative findings in 5,5% of subjects. The obtained data suggest that it is not enough to use just one method for a thorough determination of binocular vision.
Despite the intensive clinical application of the scientific and technological innovations, the effect of the human factor in surgical intervention remains decisive. The existing model of training highly qualified specialists in the residency program does not always render positive results. For this reason, the issue of early orientation and specialization of prospective specialists, starting from the Bachelor's stage, has received considerable attention. The experience of colleagues at the department of human anatomy, topographic anatomy and operative surgery of the medical faculty of Tbilisi State University is based on the example of early professional orientation of the students, and their active attraction in the specialized surgery groups within the department's "student scientific-practical laboratory." The laboratory has united the abdominal, thoracic, microvascular surgery, plastic surgery, anaesthesiology groups and the group of artificial life support. Teaching was carried out on the basic and specialized stages of preparation in the duration of 5 years in conjunction with regular classes at the faculty. The results of this approach included: significantly higher level of knowledge of theoretical foundations and practical skills in various fields of surgical specialty; positive influence on learning process in general, with improved academic performance of students in every surgical discipline; popularisation and promotion of research with active engagement of students in research activities of the department; "painless" adaptation of students in the clinical departments of city hospitals.