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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
81

Impacto da perícia na decisão sentencial trabalhista na área de saúde / Expertise impact on labor sentence decision on health

Cavalcanti, Ana Paula Chedid 15 July 2015 (has links)
A perícia é uma ferramenta utilizada pelo sistema judiciário para que informações técnicas adicionais ou de melhor acurácia sejam apuradas e possam assim auxiliar na tomada de decisão sentencial. O presente estudo tem a proposta de analisar laudos de jurisprudências da justiça do trabalho visando determinar quão importante a perícia médica/odontológica tem sido para tomada de decisão pelo juiz. Trata-se de um estudo observacional, transversal, descritivo e analítico no qual foi realizado levantamento dos dados por meio de análise documental. Setenta e dois processos de ações trabalhistas foram avaliados e a seleção foi realizada eliminando-se as ementas repetidas e ações por dissídios coletivos resultando em 38 processos no período entre 1996 a 2014. As variáveis DORT como consequência do dano (p=0,1723), Perícia do tipo médica/odontológica (p=0,1504) e Perícia do tipo Técnica (p=0,1975) foram habilitadas para elaboração de modelo ajustado com emprego de regressão logística múltipla, método backward, com intervalo de confiança de 95%. As variáveis Perícia do tipo Médica (OR= 14,5319; IC 95%= 2,3263 a 90,7780) e DORT como consequência do dano (OR= 7,8989; IC 95%= 1,2755 a 48,9151) permaneceram no modelo ajustado final, revelando que a chance do juiz necessitar de perícia é 14 vezes maior quando esta é do tipo médica/odontológica e quando o dano sofrido envolve DORT, há 7,89 vezes mais chances de o juiz acatar a perícia. A análise do modelo ajustado com emprego da Curva ROC revelou ser muito boa sua capacidade preditiva (AUC=0,8661; SE=0,06194; IC 95%= 0,7163 a 0,9545). A perícia médica/odontológica possui alta relevância em ações trabalhistas, caracterizando-se como uma prova fundamental para a tomada de decisão pelos magistrados. / Expertise is a tool used by the judiciary for additional technical information or better accuracy can be cleared and can be assist in making decision sentence. This study is the proposal to examine case law reports of the labor courts in order to determine how important the medical/dental expertise has been for decision making by the judge. This is an observational, cross-sectional, descriptive and analytical study that was conducted through the data of document analysis. Seventy-two cases of labor claims have been assessed and the selection was carried out eliminating the repeated menus and actions for collective bargaining resulting in 38 cases from 1996 to 2014. The variables \"WRMD as a result of damage\" (p=0,1723), \"Medical/dental Expertise\" (p=0.1504) and \"Technical Expertise\" (p=0.1975) were able to elaborate adjusted model with the use of multiple logistic regression, backward method, with 95% confidence interval. The variable Medical Expertise\"(OR= 14,5319; IC 95%= 2,3263 to 90,7780) and \"WRMD as a result of damage\" (OR= 7,8989; IC 95%= 1,2755 to 48,9151) remained in the final model adjusted, revealing that the chance of the judge require expertise is 14 times more than when it is the medical /dental type and when the damage suffered involves WRMD there is 7,89 times more chance to the judge accept expertise. The analysis of the adjusted model with use of ROC curve was found to be very good its predictive capacity (AUC= 0,8661; SE= 0,06194; IC 95%= 0,7163 to 0,9545). The medical/dental expertise is of high relevance to labor actions, characterized as a essential proof for decision making by judges.
82

The development and implementation of an occupational health program within a health maintenance organization via the occupational health program's strategic planning process

Wood, Ringo Michael January 1982 (has links)
Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1982. / MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH / Bibliography: leaves 69-74. / by Ringo Michael Wood. / M.C.P.
83

Avaliação da sensação de desconforto e de dor durante a postura sentada: uma análise em terminais informatizados.

Barroso, Bárbara Iansã de Lima 31 December 2010 (has links)
Submitted by Alisson Mota (alisson.davidbeckam@gmail.com) on 2015-06-25T20:42:14Z No. of bitstreams: 2 Dissertação - Bárbara Iansã de Lima Barroso 1.2.docx: 46406 bytes, checksum: d4c678edbfc922924fc15ecb9dba954c (MD5) Dissertação - Bárbara Iansã de Lima Barroso 2.2.doc: 2276352 bytes, checksum: 0812bb7ee5f175aa1e3ff1fb0641052d (MD5) / Approved for entry into archive by Divisão de Documentação/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-06-29T19:57:56Z (GMT) No. of bitstreams: 2 Dissertação - Bárbara Iansã de Lima Barroso 1.2.docx: 46406 bytes, checksum: d4c678edbfc922924fc15ecb9dba954c (MD5) Dissertação - Bárbara Iansã de Lima Barroso 2.2.doc: 2276352 bytes, checksum: 0812bb7ee5f175aa1e3ff1fb0641052d (MD5) / Approved for entry into archive by Divisão de Documentação/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-06-29T20:22:21Z (GMT) No. of bitstreams: 2 Dissertação - Bárbara Iansã de Lima Barroso 1.2.docx: 46406 bytes, checksum: d4c678edbfc922924fc15ecb9dba954c (MD5) Dissertação - Bárbara Iansã de Lima Barroso 2.2.doc: 2276352 bytes, checksum: 0812bb7ee5f175aa1e3ff1fb0641052d (MD5) / Made available in DSpace on 2015-06-29T20:22:21Z (GMT). No. of bitstreams: 2 Dissertação - Bárbara Iansã de Lima Barroso 1.2.docx: 46406 bytes, checksum: d4c678edbfc922924fc15ecb9dba954c (MD5) Dissertação - Bárbara Iansã de Lima Barroso 2.2.doc: 2276352 bytes, checksum: 0812bb7ee5f175aa1e3ff1fb0641052d (MD5) Previous issue date: 2010-12-31 / Não Informada / Contributions from various areas of knowledge makes the occupational health a focal point in the national manufacturing industry, clarifying certain matters of unusual interest in today's society, thus the order of postural disorders has been considered a serious public health problem, because reach a high incidence of economically active population worldwide, disabling it temporarily or permanently to certain professional activities. The practical relevance of this research is directed to the attention of office chairs produced in Brazil, as well as the study of worker-seat interface during the implementation of occupational activity performed in the sitting posture, and may be directed to the aid of the acquisition of furniture office, reducing the risks of disorders in employees who perform computer activity. Regarding the practical goals of this research are concerning the assessment of dimensions and design make it a suitable chair for development work in the Coordenação de Análise Documental (CODOC), located in this sector Superintendência da Zona Franca de Manaus (SUFRAMA) . Understand the theory that defines the dimensions and design of a chair at the workstation computer; consideration of the levels of comfort and discomfort during the implementation of computerized work activity, identifying the types of chairs available for the labor in the PIM; measure comfort levels during performance of work activity computerized, with two models of chairs available in SUFRAMA CODOC sector. Analyze the existence of correlation with the pathophysiology acquired during the workday and the RSI. The study was conducted via a structured interview, based on research from Iida (1998) and Guimarães (2001), in order to evaluate the sensation of discomfort and pain in seventy-one (71) employees, and forty-five ( 45) were females, representing 63%. And twenty-six (26) corresponding to 37% male, the mean age is 27.5% for women and 35.8% for men; officials had different levels of academic instruction, not being a factor variable for the research. This study, on the nature, is classified as applied, since it is oriented to the generation of knowledge driven solutions to specific problems of selection of chairs to work on computer terminals. Regarding the approach, it is a qualitative and quantitative, considering both the statistical analysis of data measured in opinion as to the scale of spontaneous individuals involved in the research, now in relation to their goals as the criteria for classification of Gil (1991 ), this research is classified as exploratory, because it aims to provide greater familiarity with the problem of evaluation of chairs for computer terminals. By obtaining the ranking, there was a preference swivel chair without armrests, curved lumbar support, height adjustment and having depth of the seat and backrest. / As contribuições de diversas áreas do conhecimento tornam a saúde do trabalhador um ponto focal na indústria produtiva nacional, esclarecendo determinadas questões de interesse incomum da sociedade atual, dessa forma, as patologias de ordem postural tem sido considerado um sério problema de saúde pública, pois, atingem uma alta incidência da população economicamente ativa mundialmente, incapacitando-a temporariamente ou definitivamente para determinadas atividades profissionais. A relevância prática desta pesquisa está voltada ao conhecimento das cadeiras de escritório produzidas no Brasil, assim como, o estudo da interface trabalhador–cadeira, durante a execução da atividade ocupacional realizada na postura sentada, podendo ser direcionado para o auxilio da aquisição do mobiliário de escritório, diminuindo os riscos de DORT em colaboradores que desempenham atividade informatizada. Em relação aos objetivos práticos dessa pesquisa, são referentes à avaliação das características dimensionais e de design que tornam uma cadeira adequada para o desenvolvimento do trabalho na Coordenação de Análise Documental (CODOC), setor esse localizado na Superintendência da Zona Franca de Manaus (SUFRAMA). Conhecer a teoria que define as características dimensionais e de design de uma cadeira no posto de trabalho informatizado; apontar os níveis de conforto e desconforto durante a execução da atividade laboral informatizada; identificar os tipos de cadeiras disponíveis para a atividade laboral dentro da SUFRAMA; mensurar os níveis de conforto durante a execução da atividade laboral informatizada, com dois modelos de cadeiras disponíveis na SUFRAMA setor CODOC. Analisar a existência da correlação com as fisiopatologias adquiridas durante a jornada de trabalho e os DORT. O estudo foi realizado através da aplicação de entrevista estruturada, baseado nas pesquisas de Iida (1998) e Guimarães (2001), como forma de avaliação da sensação de desconforto e dor em setenta e um (71) colaboradores; sendo, quarenta e cinco (45) do sexo feminino, correspondendo 63%. E vinte e seis (26) correspondente a 37% masculino; a media de idade é de 27,5% para as mulheres e 35,8% para os homens; os funcionários possuíam distintos níveis de instrução acadêmica, não sendo fator variável para a pesquisa. Este estudo, quanto à natureza, é classificado como aplicado, uma vez que está orientado à geração de conhecimentos dirigidos a soluções de problemas específicos de seleção de cadeiras para trabalhos em terminais informatizados. No que concerne à abordagem, ela é de caráter qualitativo e quantitativo, pois considera tanto a análise estatística de dados aferidos em escala quanto à opinião espontânea dos indivíduos envolvidos na pesquisa, já em relação aos seus objetivos conforme os critérios de classificação de Gil (1991), esta pesquisa é classificada como exploratória, pois, visa proporcionar maior familiaridade com o problema de avaliação de cadeiras para terminais informatizados. Com a obtenção do ranking, observou-se a preferência da cadeira giratória, sem apoio de braço, com curvatura do apoio lombar; possuindo ajuste de altura e profundidade do assento e encosto.
84

Work, industry and control

Kriegler, Roy John January 1978 (has links)
This research project set out to explore in detail the work milieux of the skilled industrial worker, to examine work through the eyes and experience of the workman himself. Although an eclectic approach was employed in the gathering of the material for this thesis, the research was centred around two distinct methodological procedures: participant observation and in-depth interviewing. As a participant observer, I worked as a labourer in the Whyalla Shipyard which enabled me to experience work and its associated authority relationships first hand and to gain the trust of a group of employees who were later extensively interviewed. A semi-structured questionnaire was employed to enquire into worker’s leisure activities, social networks, financial position, personal background, class images, attitudes towards work and general social and political orientations. Endeavouring not to lose sight of the depth of the social processes implicit in the workman’s world of meaning, questioning procedures frequently approached the informality of ordinary conservations. / My research revealed a disturbing lack of awareness, by unions, employers, government authorities and the courts, of the deleterious physical, sociological and psychological effects which accompany certain types of industrial employment. Working in close liaison with federal and state government instrumentalities, I was able to uncover significant discrepancies and inadequacies in the present industrial safety and workman’s compensation legislation. The Whyalla project, revealed an unexpectedly high incidence of work-associated physical disabilities and industrial diseased, and it is hoped that these findings will contribute to the review and general tightening-up of some of the South Australian statutes. / ‘Work, industry and control’ demonstrates how industrial workmen can come to regard themselves to be trapped within a complex web of interlocking mechanisms of social and political control. Furthermore, it seeks to uncover some of the effects that elitist and authoritarian managerial policies and obsessive over-supervision can have on the morals, skills, and self-concept of craftsmen, and relates these to Lockwood’s concept of privatisation.
85

The impact of external factors on occupational injury/illness and lost workday incidence rates

Farmer, Rainier H. 29 April 1991 (has links)
Occupational injury and illness rates are used by employers and regulatory agencies to monitor the health and safety of workers. Changes in the rates are interpreted to reflect actions taken or not taken by the employer. The purpose of this study was to delineate external factors, those factors outside the control of employers, which influence occupational injury and illness rates. The results of this study are useful in interpreting changes in the occupational injury and illness rates as a function of changes in the external factors. A review of the literature provided information on the type of external forces which would be expected to influence occupational injury/illness rates. The factors selected for the data analysis included economic indicators, regulatory budget and performance measures, firm size, and leniency in workers' compensation claim determination as measured by the proportion of denied claims. Data were collected on the injury/illness incidence, lost workday case incidence, and lost workday rates for the state of Oregon for 1978 through 1987. Multiple linear regression models were constructed for each of the injury/illness rates using a step-down variable selection process to determine the predictor variables for each model. Separate models were constructed for each dependent variable using the values of the predictor variables for the same year and for the preceding year. The results supported the hypotheses that the unemployment rate, gross state product, number of serious violations cited by OSHA, and percentage of claims denied by the Workers' Compensation Board influence occupational injury and illness rates. Total OSHA expenditures and the number of inspections conducted by OSHA in a given year demonstrated positive relationships with lost workday cases incidence and injury/illness incidence rates, respectively; the positive associations were contrary to the hypothesized relationships. Models can be constructed using data on external factors to predict injury/illness incidence, lost workday case incidence, and lost workday rates. The unemployment rate was the most useful variable in predicting occupational injury and illness rates. / Graduation date: 1991
86

L' éviction de l'article 1382 du Code civil en matière extracontractuelle /

Traullé, Julie, January 2007 (has links) (PDF)
Univ., Diss.--Paris 1, 2006.
87

An investigation into the association between the cumulative effect of studying and practising manual therapeutic techniques and low back pain in chiropractic students

Fyfe, Charmaine Chantel January 2006 (has links)
Thesis (M.Tech.: Chiropractic) -Dept. of Chiropractic, Durban Institute of Technology, 2006. xiii, 44 leaves, Annexures A-F / The purpose of this study is to determine whether the cumulative effect of studying, and practising manual therapeutic techniques (including receiving manipulation), is associated with chiropractic students experiencing low back pain (LBP). According to Smith (2005), students currently registered in the Durban Institute of Technology Health faculty were found to have the highest proportion of LBP when compared to students in other faculties. Thirty seven percent of the students with LBP were chiropractic students. In a study performed by Macanuel et al. (2005) on undergraduate chiropractic training, it was concluded that chiropractic students experience side effects during chiropractic technique class. There is epidemiological evidence that chiropractors are a high-risk group of health professionals who experience low back disorders (Tim 1996, Lorme and Naqv 2003, Rupert and Ebete 2004). Rupert and Ebete (2004) suggest that the majority of chiropractors have suffered an occupational injury primarily related to administering manual procedures.
88

Tuberculosis in coal mine workers in Mpumalanga.

Mphofu, Obed. January 2009 (has links)
Introduction Pulmonary tuberculosis (TB) is a disease which is both curable and preventable, with recognised complications such loss of lung function and progressive massive fibrosis (PMF). It is a major cause of pulmonary disability and mortality in the South Africa mining industry. Tuberculosis has a high social and economic cost, both for the individual concerned and for the industry as a whole. However, notwithstanding the extensive literature on TB in the mining industry, given the size and economic importance of coal mining in South Africa, there is surprisingly scanty information available on TB and other occupational lung diseases in coal mines. A strong correlation was reported in Canada, the USA and China between coal usage and TB. This highlights the possibility of the direct impact of coal usage on TB. Although black miners have historically done jobs with the highest exposure in the coal mining industry, there have been remarkably few studies reporting the prevalence of TB and the exposure response relationship in black coal miners in South Africa. Dust exposure in coal mines is a risk factor for occupational lung diseases such as coal workers' pneumoconiosis (CWP), chronic obstructive airways disease (COAD) and lung function deficiency. However, there are still doubts and debates about the risk in such work of tuberculosis. The aim of this study was to fill the gap in the literature by determining the prevalence and exposure response relationship of TB to coal dust exposure. Objective To determine, within a sample of coal miners: . Prevalence of tuberculosis (TB) . Prevalence of coal workers' pneumoconiosis and past TB . Association of outcome variables with exposure variables and underground coalmine workers' exposure as compared to that of surface workers . Association of TB with coal workers' pneumoconiosis and past TB . Exposure response relationship of TB, coal workers' pneumoconiosis and past TB to respirable coal dust. Method A cross-sectional study of 344 employed black male coal miners at a coal mining complex with fourteen mine shafts at Secunda in Mpumalanga, was done. The records from 1 January 2000 to 31 December 2005 were reviewed. The main outcome measure was the prevalence of current TB in coal miners. The sample consisted of 220 underground and 124 surtace coal miners. The exposure variables considered were lifetime mean exposure level (LMEL) (mgim3), cumulative dust exposure (CDE) in mg-years/m3, and coal mining years. Information was collected from multiple sources including hospital files, surveillance records and medical records, and crossvalidated with the information from the human resources department. Information was collected on the demographic profile, exposure, underground or surface work, area of work, smoking history, HIV status from medical records, dust exposure intensity, length of service, TB diagnosis and the methods of diagnosis and outcome of the treatment, and previous TB and CWP. Participants with current TB were either sputum culture positive or sputum culture negative TB. Results The mean age of the sample was 45.2 years, (range 2844 years; SD = 8.2).The mean duration of service was 16.1 years (range 4.1-27.7 years; SD 5.9). There were 34 (9.9%) cases of current TB in total, of which 31 were underground coal miners and three were surface coal miners. The prevalence of current TB reported by this study was 9.97o, with a mean age of 46J years and length of service of 16.2 years. The prevalence of current TB among the underground and surface workers was 14.1o/o and 2.4o/o rcspectively. The prevalence of CWP was 3.8o/o, with a mean age of 51.3 years and a mean length of service of 2Q.l years. The prevalence of past TB was also 3.8o/o, with a mean age and length of service of 44.9 and 1 6. 1 years respectively. Underground coal mines workers' exposure to coal dust was high, with a lifetime mean exposure level (LMEL) and cumulative dust exposure (CDE) of 2.4 mg/m3 and 33.4 mgyears/ m3 respectively. The difference in LMEL and CDE among underground vs. surface workers was significant, with underground exposure being higher than surface exposure, namely p<0.001 and p<0.001 respectively. The difference in length of service between underground and surface participants was not significant. The difference in exposure to coal dust (LMEL and CDE) among participants with current and previous TB, compared to those without current and previous TB, was statistically significant, p<0.008 and p<0.04. The difference between the coal dust exposure indices (LMEL, CDE exposure duration) for participants with and without CWP was significant. However, the difference between participants with current TB and previous TB compared to those with non-current TB and without previous TB in age and length of service years was not significant. This also applied to HIV status and smoking: the difference between participants with and without current TB was not significant. There was a strong significant association of underground mine work with current TB, with a prevalence odds ratio (POR) of 6.62 (p<0.001).This showed that the association of exposure to coal dust with current TB was strong and significant as underground mine workers were exposed to higher coal dust concentrations than surface workers. Workers with current TB were more likely to have co-existing CWP, with a POR of 1.7 (95Vo Cl:0.f7.1). The exposure-response relationship of LMEL and CDE in participants with current TB and CWP was significant. A significant trend was observed of increasing of LMEL and CDE with an increase in the prevalence of current TB, CWP and past TB. Conclusions There was a possible dose response relationship between coal dust exposure and the risk of development of pulmonary TB. The study showed that coal dust exposure was associated with pulmonary TB, and a dose response relationship with the trend of increasing coal dust exposure. lt has been shown that there is a more significant and stronger association of underground coal mine work with current TB than there is in surface work. This study has shown a significant exposure response relationship in the exposure indices (CDE and LMEL), age and length of service for CWP. This study found a high prevalence of pulmonary TB of 9.9% in black migrant coal mine workers who historically held jobs in the dustiest areas in the mining industry. The limitations of the study include the use of cumulative exposure calculated from current exposure, and the secondary healthy worker effect or survivor workforce. Dust control and HIV/AIDS programmes should be an integral part of a TB and occupational lung disease control strategy in the mining industry. / Thesis ( M.Med. )-University of KwaZulu-Natal, Durban, 2009.
89

Occupational exposures and chronic obstructive pulmonary disease : a hospital-based case-control study.

Govender, Nadira. January 2009 (has links)
Aim The aim of this study was to determine the contribution of occupational exposures to the burden of Chronic Obstructive Pulmonary Disease (COPD) among a sample of hospital based patients. Methods Cases (n=110) with specialist physician diagnosed COPD from the three public sector specialist respiratory clinics in KZN and controls (n=102) from other nonrespiratory chronic ailment specialist clinics at the same institutions were selected. An interviewer administered questionnaire and exposure history was obtained for each participant. In addition, a valid lung function test was obtained for each case. Data was analysed using STATA version 10. Multivariate regression models were developed to examine the relationship between COPD and occupational exposures while adjusting for age, sex, smoking and previous history of tuberculosis. The relationship of FEV1 and occupational exposures, adjusted for age, height, previous history of tuberculosis and smoking history, was investigated among cases. Results Cases and controls were similar with respect to age and sex distribution. Cigarette smoking differed significantly between cases and controls with a larger proportion of cases having ceased to smoke compared to controls (72% vs 46%, p<0.01). A higher proportion of controls reported employment in administrative, managerial and quality control positions (21.3% vs 12.0%, 7.7% vs 2.6% and 5.4% vs 0.3% respectively). Employment in the construction and shoe manufacturing industries was reported more frequently by cases (10.3% vs 3.2% and 10.0% vs 4.9% respectively). Cases were more likely than controls to have been exposed to dust (72% vs 28%, p<0.001) or to chemicals, gas or fumes (74% vs 25.5%, p<0.001) and reported exposure durations 3-4 fold higher than that of controls (p<0.001). Dust and chemical, gas or fume exposure was associated with an increased odds of developing COPD. Exposure to dusts (OR 7.9, 95% CI 3.9-15.7, p<0.001), chemicals, gas or fumes (OR 6.4, 95% CI 3.2-12.8, p<0.001) were significantly associated with odds of developing COPD. In addition, previous history of tuberculosis, as well as smoking were associated with an increased odds of COPD (OR 5.7, 95% CI 1.2-27.4 p<0.001 and OR 6.4, 95% CI 2.3-17.7, p<0.001). Discussion and Conclusion This is one of the first hospital based case-control studies looking at occupational contribution to COPD undertaken in South Africa. In this sample of participants, strong associations were observed between self-reported occupational exposures to dust, and chemicals, gas or fumes, and physician’s diagnosis of COPD. The study also demonstrated a strong association between smoking and previous history of tuberculosis, and risk of COPD. The findings suggest that persons with known occupational exposures to respiratory irritants should be monitored to detect the onset of respiratory ill-health and that preventive strategies should reduce exposure to these agents in the workplace. / Thesis (M.Med.)-University of KwaZulu-Natal, Durban, 2009.
90

Lietuvos ginčytinų profesinių ligų atvejų 2005-2009 metais charakteristikos bei jų sąsajos su profilaktiniais sveikatos tikrinimais / Lithuanian controversial cases of occupational diseases in the years 2005-2009: characteristics and their associations with annual health check ups

Erapart, Evelina 11 June 2012 (has links)
Įvadas. Žmonės didelę laiko dalį leidžia dirbdami, daugelis jų yra veikiami profesinių rizikos veiksnių, lemiančių profesinės ligos atsiradimą. Pastaruoju metu profesinės ligos bei jų keliama našta tapo ypač aktualia problema įvairiose šalyse. Siekiant nustatyti veiksnius, kurie sukelia ginčus, būtina analizuoti ginčytinus profesinių ligų atvejus. Profilaktiniai sveikatos tikrinimai padeda nustatyti profesines ligas ankstyvose stadijose, darbo medicinos gydytojams suteikia svarbią, papildomą informaciją apie pacientą, profesinės ligos nustatymo metu. Todėl nagrinėjant ginčytinus profesinių ligų atvejus svarbu įvertinti profilaktinių sveikatos tikrinimų įtaką. Darbo tikslas. Išanalizuoti Lietuvos ginčytinų profesinių ligų atvejų (GPLA) 2005–2009 m. charakteristikas bei jų sąsajas su profilaktiniais sveikatos tikrinimais. Uždaviniai. Įvertinti ginčytinų profesinių ligų atvejų pasiskirstymą pagal charakteristikas (diagnozę (pirminę, galutinę), priežastis, profesiją, ekonominę veiklos rūšį, kenksmingus darbo aplinkos veiksnius, amžių, darbo stažą, lytį, gyvenamąją vietą). Įvertinti ginčytinų profesinių ligų atvejų pasiskirstymą pagal pirminės ir galutinės diagnozės sutapimą. Įvertinti ginčytinų profesinių ligų atvejų pasiskirstymą pagal profilaktinių sveikatos tikrinimų rezultatus. Įvertinti profilaktinių sveikatos tikrinimų ir ginčytinų profesinių ligų atvejų charakteristikų sąsajas. Tyrimo metodika. Darbe naudoti aprašomosios statistikos ir kiekybiniai tyrimo metodai. Duomenys... [toliau žr. visą tekstą] / Intoduction. A lot of people spend their days at work; high proportion is influenced different risk factors causing occupational diseases. Nowadays the burden occupational diseases is discussed very often all around the world. To identify problems causing disputes about occupational disease diagnosis it is necessary to analyze the controversial cases of occupational diseases. Annual health check ups provide important additional information for occupational doctors, who are determining the diagnosis of occupational disease, also helps to identify diseases in early stages. Since the efectivness of annual health check ups is discussed it is necessary to evaluate how annaul health check ups influence changes in the controversial cases of occupational diseases (CCOD). Aim. To analyze the controversial cases of occupational diseases in Lithuania during years 2005-2009, characteristics of cases and their relation to health annual (mandatory) health check ups. Tasks. To evaluate the distribution of CCOD by characteristics (age, gender, place of residence, seniority, cause of dispute, occupation, economic activity, employment, harmful environmental factors, diagnosis (primary and final). To evaluate distribution of CCOD by congruence of primary and final diagnosis. To evaluate distribution of CCOD by the results of annual health check ups. To evaluate associations with characteristics of contraversial cases of occupational diseases. Methodology. The CCOD registered and analysed by... [to full text]

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