RESUMO
The following guidelines were developed for the medical assessment services of the German pension fund. Starting from day-to-day practice, criteria and attributes to guide decisions for a systematisation of the sociomedical assessment of performance in diseases of the liver and the bile ducts were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent, e. g., for the assessment of applications for decreased earning capacity benefits. The guidelines summarise the typical manifestations of diseases of the liver and the bile ducts and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions, the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual. The guidelines followed from an extended procedure to attain a wide consensus in the setting of the German Pension Fund and an upgraded evidence base.
Assuntos
Doenças Biliares/diagnóstico , Doenças Biliares/terapia , Atenção à Saúde/normas , Hepatopatias/diagnóstico , Hepatopatias/terapia , Garantia da Qualidade dos Cuidados de Saúde/métodos , Garantia da Qualidade dos Cuidados de Saúde/normas , Doença Crônica , Alemanha , Humanos , Fatores SocioeconômicosRESUMO
The following guidelines were developed for the medical assessment services of the German Pension Insurance Federal Institution. Starting from day-to-day practice, criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in breast cancer were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent, e. g., for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of breast cancer and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions, the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual.
Assuntos
Neoplasias da Mama/classificação , Neoplasias da Mama/diagnóstico , Avaliação da Deficiência , Indicadores Básicos de Saúde , Guias de Prática Clínica como Assunto , Medicina Social/métodos , Avaliação da Capacidade de Trabalho , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/reabilitação , Definição da Elegibilidade/normas , Alemanha/epidemiologia , Humanos , Medicina Social/organização & administraçãoRESUMO
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systemization of the sociomedical assessment of performance in inflammatory bowel disease (Crohn's disease, ulcerative colitis) were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent -- e. g. for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of inflammatory bowel disease and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual.
Assuntos
Avaliação da Deficiência , Guias como Assunto , Doenças Inflamatórias Intestinais/classificação , Doenças Inflamatórias Intestinais/diagnóstico , Índice de Gravidade de Doença , Avaliação da Capacidade de Trabalho , Adolescente , Adulto , Idoso , Alemanha , Humanos , Doenças Inflamatórias Intestinais/reabilitação , Masculino , Pessoa de Meia-Idade , Classe SocialRESUMO
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in chronic obstructive pulmonary diseases (COPD) and bronchial asthma were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent - e. g. for the assessment of applications for decreased earning capacity benefits. Part II outlines assessment of the individual's capacity, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual.
Assuntos
Asma/diagnóstico , Asma/reabilitação , Avaliação da Deficiência , Avaliação de Resultados em Cuidados de Saúde/métodos , Avaliação de Resultados em Cuidados de Saúde/normas , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/reabilitação , Asma/classificação , Alemanha , Humanos , Administração dos Cuidados ao Paciente/métodos , Administração dos Cuidados ao Paciente/normas , Guias de Prática Clínica como Assunto/normas , Doença Pulmonar Obstrutiva Crônica/classificação , Reabilitação Vocacional/métodos , Reabilitação Vocacional/normas , Resultado do TratamentoRESUMO
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systematization of the sociomedical assessment of performance in chronic obstructive pulmonary diseases (COPD) and bronchial asthma were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent - e. g. for the assessment of applications for decreased earning capacity benefits. Part I of the guidelines gives information on the classification of chronic obstructive pulmonary diseases (COPD) and bronchial asthma and on the number of pensions due to limited earning capacity. The guidelines summarise typical manifestations of chronic obstructive pulmonary diseases (COPD) and bronchial asthma and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated.
Assuntos
Asma/diagnóstico , Avaliação da Deficiência , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Adulto , Asma/classificação , Asma/reabilitação , Gasometria , Broncoscopia , Diagnóstico Diferencial , Ecocardiografia , Ecocardiografia Doppler , Eletrocardiografia , Definição da Elegibilidade , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Pletismografia , Pletismografia de Impedância , Guias de Prática Clínica como Assunto , Doença Pulmonar Obstrutiva Crônica/classificação , Doença Pulmonar Obstrutiva Crônica/reabilitação , Testes de Função Respiratória , Fatores de Risco , Previdência Social/legislação & jurisprudência , Espirometria , Organização Mundial da SaúdeRESUMO
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice, criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in discopathy or associated diseases were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent -- e. g. for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of discopathy or associated diseases and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual. Guidelines for the sociomedical assessment of performance in coronary heart disease (CHD) have been published in Gesundheitswesen 2002, 64: 451-465.
Assuntos
Avaliação da Deficiência , Guias como Assunto , Deslocamento do Disco Intervertebral/classificação , Avaliação da Capacidade de Trabalho , Vértebras Cervicais , Diagnóstico Diferencial , Definição da Elegibilidade/legislação & jurisprudência , Prova Pericial/legislação & jurisprudência , Alemanha , Humanos , Deslocamento do Disco Intervertebral/diagnóstico , Deslocamento do Disco Intervertebral/reabilitação , Vértebras Lombares , Exame Neurológico , Prognóstico , Previdência Social/legislação & jurisprudênciaRESUMO
The following guidelines were developed for the medical assessment services of the German Federal Insurance Institute for Salaried Employees (BfA). Starting from day-to-day practice criteria and attributes to guide decisions for a systemisation of the sociomedical assessment of performance in coronary heart disease (CHD) were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent - e.g. for the assessment of applications for decreased earning capacity benefits. The guidelines summarise typical manifestations of CHD and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination and for diagnostic tests - especially of myocardial functioning - are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally inferences are drawn regarding the occupational capacity of the individual.
Assuntos
Doença das Coronárias/diagnóstico , Avaliação da Capacidade de Trabalho , Doença das Coronárias/classificação , Doença das Coronárias/reabilitação , Prova Pericial/legislação & jurisprudência , Alemanha , Humanos , Guias de Prática Clínica como Assunto , Reabilitação Vocacional , Previdência Social/legislação & jurisprudênciaRESUMO
We continued to study the diversity of responses of the grass moth Loxostege sticticalis L. to variations of density. We estimated the dynamics of the internal state of individuals and considered the influence of the population prehistory on ecological characteristics of the phytophage. In experiments on studying the structure of flower forms of the larval stage, we showed the dependence of the parameters of the internal state of individuals on prehistory, specifically on the conditions of life and type of individuals of the preceding generation. At the same time, comparison of the experimental results of 1991 and 1994 revealed a drift of the parameters of the reaction to variations in the grass moth population density by the structure of the larval flower forms and actual fertility of the imago. On the whole, the data obtained suggests that the studied species is characterized by a complex system of endogenous mechanisms underlying the regulation of numbers. The dynamics of environmental parameters is mediated by a cascade of endogenous rearrangements, as a result of which transition from depression to mass reproduction is realized through succession of the types of individuals in the population, when instead of a single phase, the flock phase starts to dominate.