[Work capacity evaluation in vertiginous conditions].
Evaluation of the working capacity in different vertiginous conditions. General view of the problem and evaluation of the work capacity in different nosological units of vertiginous conditions.
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Evaluation of the working capacity in different vertiginous conditions. General view of the problem and evaluation of the work capacity in different nosological units of vertiginous conditions.
According to Matheson the current definition of work capacity evaluation is that it is "a process of measuring and developing an individual's capacity to dependably sustain performance in response to broadly defined work demands." This article will give a broad overview of the work capacity evaluation as it relates to hand injuries. Included in the discussion will be the history and philosophy of work capacity evaluation, as well as the application of the evaluation process to hand-injured patients.
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The possibility of evaluating the capacity for work of subjects wearing heart valve prostheses is analysed. The many factors affecting the return to normal life after operations for valvulopathies are not considered. In strictly medical terms cardiac terms cardiac function can be adequately evaluated by anamnestic and clinical surveys, supplemented by standard non-surgical instrumental examination with particular emphasis on echography, computerised radioisotope angiocardiography and physical exertion tests.
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In various industrial tasks elevated physical strain of workers can be expected. In order to identify possible health hazards as soon as possible and to effectively prevent occupational diseases and accidents, a series of occupational health medical examinations are mandatory according to German accident prevention regulations such as VBG 100 "Occupational Health Care", Regulations for Climatic Conditions Underground (KlimaBergV), Regulations for Mine Rescue Teams, etc. Besides a clinical medical inspection and a laboratory blood test as well as urine test the physical fitness and aptitude for several specific occupational hazards are tested by means of a mandatory ergometry test. In the present publication the possible predictive limits as well as the making sense or nonsense of the use of ergometry in occupational aptitude tests under the auspices of German accident prevention regulations will be discussed.
Work resumption of patients after myocardial infarction is primarily dependent on left-ventricular function, stress-related ischemia and rhythm-disturbances, additionally the general physical and psychological state play an important role. -The basic examination includes not only the history and physical examination, but also resting ECG, ECG exercise testing, 2-dimensional echocardiogramm and Holter-ECG. Additionally, stress-echocardiogramm, nuclear exercise testing and invasive procedures can be necessary. It is possible to estimate the work-capacity of the patient by classifying the ECG testing and by regarding further details of the disease. The return-to-work-rate does not only depend on the severity of a CHD, but also on the age, education, social class, high physical activity during work, job related satisfaction, family situation and available suitable jobs on the labor market.
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Incapacity for work is not a medical but an economic concept. The difference between the earnings somebody could have had without health problems, and the possible earnings with health problems determine the degree of incapacity for work. Social security physicians and vocational experts together judge the degree of incapacity for work in discussion with the client. The physician judges the general possibilities of the client. The vocational expert selects possible jobs the client should be able to do. The disability allowances are relatively low. Treating physicians should take into account this and other negative aspects of incapacity for work.
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A program for evaluating measures taken for rehabilitation of radically-treated patients with tumors of the lung, breast, ovary and endometrium is discussed. The study included patients on the cancer register for at least 6-60 months. It was based on the data on type of tumor process, treatment modality and characteristics of health status and working ability before and after therapy. The study used forms for computer evaluation of rehabilitation efficacy and encoder-type instructions for filling them.