Academic literature on the topic 'Periodic Medical Examination'

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Journal articles on the topic "Periodic Medical Examination"

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Теплякова, E. Teplyakova, Щербаков, and S. Shcherbakov. "Automation of accounting and reporting of preventive medical exams and clinical examination in medical organizations." Journal of New Medical Technologies. eJournal 8, no. 1 (November 5, 2014): 0. http://dx.doi.org/10.12737/7354.

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Implementation of information technology in health care is one of the urgent tasks of modernization. Questions automation of accounting and reporting on clinical examination carried out by certain groups of adults, clinical examination of orphans, professional examinations and adult medical examination of the child population (preventive, preliminary, periodic) make up a significant part of the activities of medical organizations both in terms of achieving the goals of the organization. The implementation of a software system "health card", its implementation and use in the medical organization is effectively used in the integration of medical information system in a medical organization. The functions of the system meet all the requirements necessary to meet its work regulations governing the procedure and forms for clinical examination and professional examinations, monitoring of accounting work, the results of clinical examination and analysis of professional examinations, the acceleration of employees by automatically filling out forms, flexible system configuration. Integration of "health map" with electronic medical records enables to collect card baseline medical examination (clinical examination) of the input specialists medical examinations and investigations.Automation of accounting and reporting of preventive medical exams and clinical examination allows medical organization to reduce the labor of doctors and other staff to fill in the documentation and accounting work to avoid mistakes in documents and reports, provide timely and accurate reporting of the established forms of the Ministry of Health.
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Pham, Thi Thuy, Khac Luong V, Duc Nguyen, Quoc Tran Dau, and Nhu Thao Tran. "Quality of periodic health examination service for employees and associated factors at the New Port Medical Center, Ho Chi Minh city in 2020." Journal of Health and Development Studies 05, no. 04 (July 15, 2021): 38–46. http://dx.doi.org/10.38148/jhds.0504skpt20-086.

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Objectives: A periodic health examination helps people to evaluate the overall health status, so it is of the utmost importance to each individual, including employees. At Saigon Newport Corporation, employees have to do strenuous, hazardous, and dangerous works, so periodic health examination is necessary. Methods: A descriptive cross-sectional study was conducted on 436 employees to measure their perception of the periodic health examination service quality via the SERVPERF scale and associated factors at the New Port Medical Center, Ho Chi Minh City, 2020. Results: Research results indicated that 78% of employees have a good assessment of the quality of periodic health examination, in which reliability was 79.6%, assurance was 79.8%, which were also the least. Conclusions: Gender, level of education, and sector of employment were related to the employees’ perception of the periodic health examination service. Keywords: Periodic health examination, employee, SERVPERF, New Port Medical Center, Saigon Newport Corporation.
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Leontyeva, E. Y., and T. Y. Bykovskaya. "The role of compulsory periodical medical examination in employee’s dental health maintenance." Russian Journal of Occupational Health and Industrial Ecology, no. 9 (March 19, 2020): 678. http://dx.doi.org/10.31089/1026-9428-2019-59-9-678-679.

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The analysis of the appealability for the rehabilitation of the oral cavity of staff subject to mandatory periodic examinations at the dentist. The growth of indicators characterizing the dental activity of employees was noted. Subject to the principle of continuity, annual mandatory periodic examinations can be one of the factors in maintaining the dental health of employees.
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Gurvich, V. B., A. S. Shastin, V. G. Gazimova, E. G. Plotko, and T. S. Ustyugova. "Causes of lost vocational fi tness for work in jeopardy and (or) hazardous work conditions." Occupational Health and Industrial Ecology, no. 2 (March 14, 2019): 107–12. http://dx.doi.org/10.31089/1026-9428-2019-2-107-112.

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Workers’ health should be considered as a strategically important component of governmental economic policy. Nowadays society economic damage due to lost vocational fi tness because of medical causes results mostly from general somatic diseases, but not from occupational diseases. In stable tendency to ageing able-bodied population, studies of medical causes of vocational unfi tness is a topical problem. To analyze causes of lost vocational fitness for work in jeopardy and (or) hazardous work conditions, to determine quantitative parameters of vocational unfi tness in mandatory medical examinations, to evaluate nosologic structure of medical contraindications to work in jeopardy and (or) hazardous work conditions, the authors studied demographic data of Federal service of governmental statistics and data on fi rst diagnosed occupational diseases by materials of Governmental reports of Federal service on supervision in consumers’ rights protection and human well-being. Studies also covered data of FBUN “Ekaterinburg medical research center of prevention and health care for industrial workers” of Rospotrebnadzor (EMNTs): database on fi rst diagnosed occupational diseases in Sverdlovsk region, conclusion reports on periodic medical examination results, and medical records of workers underwent periodic medical examination in EMNTs. Th e data were analyzed with descriptive and inductive statistic methods. In constant medical contraindications structure by nosologic types, according to periodic medical examinations in EMNTs, major part of refused permission to the work was associated with diseases in ICD–10 class VII “Diseases of eye and its appendages”, on the 2nd place — diseases of ICD–10 class VIII “Diseases of ear and mastoid process”, on the 3rd place — diseases of ICD–10 class XI “Digestion diseases”. Recommendations are in Russian Federation Health Ministry to consider necessity of workers’ possibility to receive additional examination and special medical care within governmental program of guaranteed free medical care in cases when the diagnosed disease causes refused permission to work.
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Shchelkanova, E. S. "Rapid noncontact diagnostics of psychophysiological state in workers of hazardous industries." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 2 (June 22, 2019): 111–20. http://dx.doi.org/10.25016/2541-7487-2019-0-2-111-120.

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Relevance. Improvement of the medico-psycho-physiological support of professional activity of employees of hazardous production facilities is associated with the development of methods for rapid diagnostics of psycho-physiological state in order to significantly reduce examination time. In particular, vibration imaging takes only one minute. Currently, there are no quantitative criteria for assessing the psychophysiological state based on vibration imaging in employees involved in hazardous work at the stages of periodic, pre-shift medical examinations and training.Intention. Development of non-contact rapid diagnostics of psychophysiological status of employees involved in hazardous work based on vibration imaging parameters for periodic and pre-shift medical examinations, and assessing their current state during training.Methodology. The object of the study was the psychophysiological state of employees of the temporary storage of spent nuclear fuel and radioactive waste at the stages of periodic and pre-shift medical examination, as well as during training. The subject of the study is assessment of relationship of indicators of psychophysiological state with the parameters of vibration imaging.Results and Discussion. According to comprehensive tests with the use of regulated and non-contact methods of assessing psychophysiological state of the workers of hazardous facilities, the parameters of vibration imaging reflect the systemic response of the body. Using the developed criterion of the rapid diagnostics of psychophysiological state at the stage of periodic medical examinations, it takes 1 minute to identify persons with psychophysiological disorders. For the stage of pre-shift medical examinations, a criterion has been developed to make a decision on admission/non-admission to work. The obtained criterion helps to quantify the psychophysiological “price” of training activities in order to optimize their regimens based on the current psychophysiological state as assessed via vibration image parameters.Conclusion. The developed criteria for rapid diagnostics of psychophysiological status, if introduced in scientific-practical activities, will help to monitor the psychophysiological adaptation of workers of hazardous facilities in order to maintain their occupational health and minimize anthropogenic risks.
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Eselevich, S. A., V. D. Balunov, and V. A. Kolesnikova. "Principles of formation of risk groups among employees at the enterprise in the Leningrad region." Russian Journal of Occupational Health and Industrial Ecology, no. 9 (March 19, 2020): 625–26. http://dx.doi.org/10.31089/1026-9428-2019-59-9-625-626.

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Iordanishvili, A. К., E. K. Barinov, and I. B. Salmanov. "ALGORITHM FOR MEDICAL EXAMINATION OF ENDODONTIC TREATMENT." Russian Journal of Forensic Medicine 5, no. 4 (January 19, 2020): 20–25. http://dx.doi.org/10.19048/2411-8729-2019-5-4-20-25.

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Evaluation (including within the framework of medico-legal examination) of the quality and efectiveness of endodontic dental treatment is a matter of current interest in the clinical dentistry.Obiectives. Te aim of the work was to develop an algorithm of medico-legal examination in case of endodontic treatment, to test this algorithm in the work of the commissions of medical care quality control in the departments of therapeutic dentistry of outpatient dental clinics.Material and methods.Te material of the study was the reports of daily activities of dental clinics of various forms of ownership (municipal, departmental, private) in 3 regions of Russia (Moscow, St. Petersburg, Rostov-on-Don), including periodic reports and reference reports, ofcial statistical reports of the activities of the examined clinics, including registration books of the work of the commissions of the quality of medical care. Tese materials were used as a source of primary statistical information. Afer grouping of the information contained in them, the main data characterizing organization, condition and quality of endodontic care were recovered taking into account nosological entities: pulpitis and periodontitis. Taking into account the medical, statistical and analytical nature of the study, the main conclusions and recommendations were formulated on the basis of a retrospective study of these materials.Results. Based on the studies carried out and recommendations of the European Endodontic Association on provision of the standard of endodontic treatment, an algorithm for medico-legal examination of endodontic treatment was proposed. Tis algorithm allows to assess the quality and efectiveness of endodontic treatment of pulpitis and periodontitis in diferent terms (immediately afer treatment, remote period)Conclusion. Te use of the developed algorithm in clinical practice in internal quality control of endodontic care has shown its efectiveness. A large number of clinical cases of insufcient quality of endodontic treatment and its low efectiveness in the remote period indicate persistence of the potential for claims from patients.
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Klevno, V. A., A. V. Maksimov, S. A. Kuchuk, and O. V. Lysenko. "THE TRAINING OF DOCTORS – FORENSIC EXPERTS: PROBLEMS AND SOLUTIONS." Russian Journal of Forensic Medicine 5, no. 1 (May 4, 2019): 47–51. http://dx.doi.org/10.19048/2411-8729-2019-5-1-47-51.

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The article reflects the stages of primary, primary specialized and periodic accreditation of specialists with higher medical education, the analysis of the main problems arising in the training of doctors of forensic experts, the experience of the state medical institution «Bureau of FME» in the training of medical personnel in the specialty «forensic medical examination».
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Salagai, Oleg O., Evgenij A. Bryun, Igor V. Bukhtiyarov, Lyudmila P. Kuzmina, Roman V. Vlasovskikh, Mariya M. Kolyaskina, and Aleksey E. Petukhov. "Methodological approaches to identifying markers of alcohol abuse in employees according to medical examination." Russian Journal of Occupational Health and Industrial Ecology 61, no. 2 (March 15, 2021): 72–76. http://dx.doi.org/10.31089/1026-9428-2021-61-2-72-76.

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Introduction. The diagnosis and appointment of adequate therapy for both alcohol dependence syndrome and somatic pathology of alcoholic origin often depends on the timely establishment of the fact of alcohol abuse, for example, during periodic medical examinations, since most patients either deny the use of alcohol, or significantly underestimate its amount. The aim of the study is to develop a methodology for the objective identification of individuals with risk factors for harmful alcohol consumption that contribute to the development of pathological conditions and diseases that increase the likelihood of developing chronic non-communicable diseases. Materials and methods. Within the framework of the study, 204 people (162 men, 42 women) working in various types of economic activities, aged from 18 to 65 years, were surveyed. All patients were sent to the clinic FSBSI "Izmerov Research Institute of Occupational Health" to pre-or periodic inspections in the order of the health Ministry of Russia from 12.04.2011 No. 302n (ed. by 18.05.2020). All the examined patients underwent a biochemical blood test: carbohydrate deficient transferrin (CDT), gamma-glutamyltranspeptidase (GGT), aspartate aminotransferase (AST), alanine aminotransferase (ALT). Also, all the surveyed were conducted a questionnaire aimed at identifying alcoholism. Statistical processing of the obtained results was carried out using the program STATISTICA 13.2 (Stat Soft Inc., USA). Results. The study of the CDT content in the blood serum of the examined patients revealed an increase above the reference values in 10%, while 7% of the examined patients regularly consumed alcohol during the last 2 weeks (CDT≥2.5%), 3% - consumed moderately (CDT1,2-2,4%). The correlation analysis showed a moderate positive correlation between the results of the questionnaire and the CDT content in the blood serum (r=0.24, p=0.002 with the question about the use of 6 or more doses at a time and r=0.30, p=0.0001 with the total score). Conclusion. The most informative marker of chronic alcohol use is the definition of CDT in combination with a questionnaire aimed at identifying alcoholism. The use of these markers during periodic and preliminary medical examinations can allow a high degree of confidence to identify persons who are prone to chronic alcohol consumption in order to carry out preventive measures and prevent them from working with various sources of increased danger, including work related to the management of vehicles.
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Wang, Victor C. "Perspective of Medical Care Providers on Elite Athletes’ Pre-participation Examination and Periodic Health Evaluation." Sports & Exercise Research 18, no. 2 (June 30, 2016): 136–46. http://dx.doi.org/10.5297/ser.1802.006.

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Dissertations / Theses on the topic "Periodic Medical Examination"

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Bruno, Ana Cecilia Rocha. "Exame médico periódico e risco cardiovascular em trabalhadores de uma grande empresa do Rio de Janeiro." reponame:Repositório Institucional da FIOCRUZ, 2009. https://www.arca.fiocruz.br/handle/icict/2409.

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Made available in DSpace on 2011-05-04T12:36:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2009
Neste estudo, foi analisado o risco cardiovascular de trabalhadores administrativos de uma grande empresa do Rio de Janeiro. Para tanto, a Síndrome Metabólica foi considerada como marcador, por encerrar um conjunto de alterações associadas a um elevado risco de doença cardiovascular e/ou diabetes, tais como obesidade abdominal, resistência insulínica, dislipidemia e hipertensão arterial. Os critérios para Síndrome Metabólica da Organização Mundial de Saúde, do Programa Nacional de Educação para o Colesterol-Terceiro Painel para Tratamento do Adulto e da Federação Internacional de Diabetes foram utilizados para diagnóstico, assim como o algoritmo de Framingham foi calculado. Dados do exame médico periódico foram reunidos, no período compreendido entre janeiro de 2003 até dezembro de 2007. Dos 2.052 exames realizados em 2003, 1.260 foram considerados para análise por estarem completos. Um grupo de 123 trabalhadores foi diagnosticado pelo critério da Federação Internacional de Diabetes e acompanhado durante cinco anos. Estabeleceu-se a relação entre a síndrome e as diversas ocupações, bem como com o absenteísmo. A prevalênciade 9,7 por cento foi abaixo da encontrada na literatura. Não foram observadas diferenças entre os grupos ocupacionais e, quanto ao absenteísmo, as faltas por problemas do aparelho circulatório foram a segunda causa mais importante. Verificou-se a baixa participação dos trabalhadores nos programas de saúde oferecidos. Os trabalhadores que realizaram exame médico periódico em 2007 foram diagnosticados pelos três critérios. A prevalência observada de 3,8 por cento com base no critério da Organização Mundial de Saúde; 16,6 por cento no Programa Nacional de Educação para o Colesterol-Terceiro Painel para Tratamento do Adulto e 16,3 por cento na Federação Internacional de Diabetes, novamente, foi abaixo da encontrada na literatura. O algoritmo de Framingham foi calculado e ao considerar a Síndrome Metabólica como fator agravante, quintuplicou-se a parcela de trabalhadores em alto risco para doenças cardiovasculares. Esse grupo necessita abordagem especial para tratamento médico e modificação do estilo de vida, a fim de reduzir o risco de incapacidade ou morte prematura.
In this dissertation the cardiovascular risk among office workers from a large company in Rio de Janeiro was studied. So, the Metabolic Syndrome was considered as a marker because it is associated with a clustering of components that increase the risk of cardiovascular disease and/or diabetes, like abdominal obesity, insulin resistance, dyslipidemia and elevated blood pressure. Among the several Metabolic Syndrome criteria the following three were used: World Health Organization, National Cholesterol Education Program - Third Adult Treatment Panel, and International Diabetes Federation. Also the Framingham Risk Score was calculated for this population and combined to the Metabolic Syndrome in order to improve the overall cardiovascular risk marker. Data were collected from the periodic medical examination between January 2003 and December 2007. From 2.052 exams realized in 2003, 1.260 were considered. A group of 123 workers was diagnosed with Metabolic Syndrome using the International Diabetes Federation criteria and followed during five years. The prevalence found of 9,7% was lower than the one reported in the literature. The Metabolic Syndrome prevalence was uniformly distributed between the different occupational groups in the company. Circulatory disorders were the second cause for lost workdays. Poor participation in the health programs available was observed. The workers who were submitted to the periodic medical examination in 2007 were diagnosed using the three criteria. The prevalence found were the following: World Health Organization - 3,8%; National Cholesterol Education Program- Third Adult Treatment Panel - 16,6%; and International Diabetes Federation - 16,3%. All the three were lower than the one reported in the literature. When the Metabolic Syndrome was added to the Framingham Risk Score as a grievance factor, a 5-fold increase in workers with high risk of cardiovascular disease was observed. This group is in need of a special approach for medical treatment and lifestyle change, in order to reduce disability and premature death.
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Mookeng, Mampete Jemina. "Factors influencing cervical cancer screening programme implementation within private health care sectors in Soshanguve." Diss., 2004. http://hdl.handle.net/10500/1880.

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Cervical cancer is reported to be the first among the five leading cancers affecting women in South Africa and the leading cancer among Black females. There is a high incidence and mortality rate among underserved and under-screened women presenting with cervical cancer as they are often unable to access screening facilities. Very little has been done to establish the factors in private health care provision that influence the implementation of cervical screening programmes. The study investigates factors influencing cervical cancer screening programme implementation among private medical practitioners in Soshanguve to establish whether private practitioners assume their roles in cervical screening. The intention is to provide guidelines for a screening programme that could be implemented in private health facilities. The study is qualitative, explorative, descriptive and contextual, using interviews and observation as the main data-collection methods. Lack of awareness and interest, failure to inform patients about cervical screening, age and gender of medical practitioners were among the factors identified. The study concluded that awareness programmes about cervical screening and materials containing information on cervical cancer and predisposing factors should be designed. The utilization of cheaper laboratory service providers could increase participation by making the test affordable and accessible to cash patients. The establishment of a private Pap clinic within medical practices or even as an independent entity is also recommended.
Health Studies
M.A. (Public Health)
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Makunyane, Coshiwe Matildah. "A mixed method approach on the perspectives of cervical cancer screening in Makhuduthamaga sub-district, Limpopo Province, South Africa." Thesis, 2017. http://hdl.handle.net/10500/23362.

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Cervical cancer remains the leading cause of cancer mortality among women worldwide, a burden in the developing countries and commonly detected through symptoms at later invasive stages. The study aimed at establishing knowledge and awareness of the importance of cervical cancer screening in the Makhuduthamaga Sub-district by exploring the perceptions of women and professional nurses and through the review of the National Cervical Cancer Screening Policy (2013). Recommendations to address the gap in knowledge and to inform the National Cervical Cancer Screening Policy were developed based on the study findings. A mixed-method approach was used in this study through a sequential explanatory design, which is quantitatively driven was used. Quantitative data were obtained by using a researcher developed checklist. The checklist was developed from variables stated in the National Cervical Cancer Screening Policy and was used to review its implementation. Qualitative data was obtained through in-depth interviews with individual women and focus group discussions with professional nurses. The study was conducted in ten randomly selected clinics of Makhuduthamaga Sub-district. Purposive sampling was done to obtain qualitative data. An average score of 9.7 was obtained for all ten clinics that participated in the study with regard to the evaluation of the implementation of the National Cervical Cancer Screening Policy. Only 6 (60%) clinics implemented the policy whereas 4 (40%) clinics did not implement the policy. Women and professional nurses perceived cervical cancer screening as important. Lack of knowledge among women regarding cervical cancer screening contributed to the majority of women not screening for cervical cancer. Lack of resources, the 10 year interval of normal cervical cancer screening, the use of disposable vaginal speculums and brushes, lack of standardized cervical cancer screening training, centralization of cytology laboratories came out as factors that negatively influence the uptake of cervical cancer screening. Cervical cancer screening awareness campaigns, availability of resources and standardized in-service trainings on cervical cancer screening were recommended to enhance the cervical cancer screening uptake. Key concepts:
Health Studies
D. Litt. et Phil. (Health Studies)
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Books on the topic "Periodic Medical Examination"

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San fen zhong jian kang jian cha: Yin shi fang shi, shui mian fang shi, xi guan, zi shi. Taibei Xian Shenkeng Xiang: Xin chao she wen hua shi ye you xian gong si, 2010.

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Jian kang jian cha: Ni xu yao zhi dao de yi ling yi ge jian kang jian cha zhi shi. Taizhong Shi: Chen xing chu ban you xian gong si, 2017.

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Jian kang bian li wu, ed. 3 fen zhong jian kang zi ji zhen duan. Xinbei Shi: Xin chao she wen hua shi ye you xian gong si, 2012.

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Office, General Accounting. Disability programs: SSA consultative medical examination process improved : some problems remain : report to the Chairman, Subcommittee on Intergovernmental Relations and Human Resources, House Committee on Government Operations. Washington, D.C: The Office, 1986.

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Thorburn, James. Manual of life insurance examinations. [Toronto?: s.n.], 1986.

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Thorburn, James. Manual of life insurance examinations. 3rd ed. Toronto: [s.n.], 1995.

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Thorburn, James. Manual of life insurance examinations. 2nd ed. Toronto: [s.n.], 1986.

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Bates, Barbara. A guide to clinical thinking. Philadelphia: J.B. Lippincott Co., 1995.

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Miller, A. B. Cervical cancer screening programmes: Managerial guidelines. Geneva: World Health Organization, 1992.

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Examination, Canadian Task Force on the Periodic Health. The Canadian guide to clinical preventive health care. [Ottawa]: Health Canada, 1994.

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Book chapters on the topic "Periodic Medical Examination"

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Cox, R. A. F. "Pre-placement and Periodic Medical Examinations." In Offshore Medicine, 41–50. London: Springer London, 1987. http://dx.doi.org/10.1007/978-1-4471-1395-9_3.

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Waghmare, Kiran, and Anusha R. Pai. "Analytical Study Using Data Mining for Periodical Medical Examination of Employees." In Advances in Intelligent Systems and Computing, 221–27. New Delhi: Springer India, 2013. http://dx.doi.org/10.1007/978-81-322-0740-5_27.

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Hasson, Katie Ann. "Not a “Real” Period?: Social and Material Constructions of Menstruation." In The Palgrave Handbook of Critical Menstruation Studies, 763–85. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-0614-7_56.

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Abstract Hasson provides an examination of menstrual suppression technologies and the implications they have on understanding menstruation as both quintessentially natural and socially constructed, and even what ‘counts’ as menstruation. Taking the case of birth control pills, Hasson studies menstrual suppression by analyzing medical journal articles, FDA advisory committee transcripts, and website marketing. Across these contexts, she finds that new definitions of ‘menstruation’ converge on the distinction between bleeding that occurs when women are taking hormonal birth control and when they are not. Finally, Hasson draws attention to the concept of redefining a biological process that is deeply significant for gendered embodiment, as well as a challenge to consider both the social and material construction of gendered bodies.
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Aw, Tar Ching, and David Koh. "Health Screening and Periodic Medical Examinations." In Textbook of Occupational Medicine Practice, 659–83. WORLD SCIENTIFIC, 2017. http://dx.doi.org/10.1142/9789813200708_0021.

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Lee, See-Muah, Michael Wong, and John-Wah Lim. "Health Screening and Periodic Medical Examinations." In Textbook of Occupational Medicine Practice, 469–83. WORLD SCIENTIFIC, 2011. http://dx.doi.org/10.1142/9789814340328_0018.

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Lai, CS, and SM Lee. "Health Screening and Periodic Medical Examinations." In Textbook of Occupational Medicine Practice, 352–61. WORLD SCIENTIFIC, 1996. http://dx.doi.org/10.1142/9789814291088_0016.

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Lai, CS, and SM Lee. "Health Screening and Periodic Medical Examinations." In Textbook of Occupational Medicine Practice, 378–87. WORLD SCIENTIFIC, 2001. http://dx.doi.org/10.1142/9789812810489_0016.

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"Gynaecological problems." In Tasks for Part 3 MRCOG Clinical Assessment, edited by Sambit Mukhopadhyay and Medha Sule. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198757122.003.0019.

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This task assesses the following clinical skills: … ● Patient safety ● Communication with patients and their relatives ● Information gathering ● Applied clinical knowledge … You are in the gynaecology clinic and your next patient is Rachel Sawyer a 38- year- old woman suffering from heavy and irregular periods. She has a BMI of 42 and has been diagnosed with PCOS in the past. Your task is … ● To take a focussed history ● Explain what examination and investigations need to be performed to Rachel ● Make a management plan … You have 10 minutes for this task (+ 2mins initial reading time). Please read instructions to candidate and actor. Allow the candidate to conduct the interview undisturbed unless they are straying off the track of the question (in which case you can show them their instructions again). This patient has heavy and irregular periods. The history of presenting complaint should cover: … ● The extent, duration, and inconvenience caused by the bleeding ● Establish the menstrual history from menarche ● Last menstrual period and present menstrual cycle ● Past gynaecological history, including PCOS ● No medical, surgical, family history ● No allergies ● Normal and regular smears ● Nulliparous ● Wants to preserve fertility … Once the candidate has taken a relevant history, they are expected to explain that they will need to perform a speculum examination and bimanual examination to Rachel. They should explain that this is to rule out any obvious abnormality in the vagina/ cervix and to assess the uterus and adnexa. Abdominal examination— unremarkable: … ● Speculum examination— cervix satisfactory ● Bimanual examination— uterus bulky, retroverted, mobile, no adnexal masses Investigations ● Endometrial sampling— either at this consultation or accept another appointment- This is to assess the endometrium as, although 38, Rachel has risk factors of High BMI, PCOS, and nulliparity ● TVS- as Rachel has a high BMI, the sensitivity of an internal examination is reduced, TVS, not TAS will be useful due to high BMI.
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Penman, Alan D., Kimberly W. Crowder, and William M. Watkins. "Routine Preoperative Medical Testing Before Cataract Surgery." In 50 Studies Every Ophthalmologist Should Know, 45–50. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190050726.003.0008.

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The Study of Medical Testing for Cataract Surgery was a randomized clinical trial in patients scheduled to undergo elective cataract surgery to determine whether routine medical testing before cataract surgery reduced the rate of complications during the perioperative period. The study showed that routine preoperative medical testing before cataract surgery does not reduce the risk of intraoperative or postoperative adverse medical events when compared to selective or no testing, nor does it reduce the rate of ocular surgical complications (such as posterior capsule rupture) or influence visual acuity outcome. The authors recommended that preoperative clinical assessment by a physician at least 7 days before surgery is a more logical and efficient approach. Tests should be ordered only when indicated by the history or findings on physical examination.
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Scott-Smith, Tom. "The Medicalization of Hunger and the Postwar Period." In On an Empty Stomach, 106–20. Cornell University Press, 2020. http://dx.doi.org/10.7591/cornell/9781501748653.003.0008.

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This chapter looks at the experiments carried out on starving people in the 1940s, when hunger was medicalized and intricate examination regimes rolled out in emergency conditions. In this period, the expansive visions of the interwar period contracted and hunger, accordingly, became more narrowly conceived as a biochemical and medical problem. Many studies such as the Minnesota Starvation Experiment, which focused on human starvation, took place during the 1930s and 1940s. This chapter examines how they shared the same basic interest in the human biology of starvation, accumulating detailed information about starvation and its internal manifestations. In the process they reconfigured food as a medicine, hunger as a disease, and focused attention on the internal mechanics of the body.
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Conference papers on the topic "Periodic Medical Examination"

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Базарова, Е. Л., Н. А. Рослая, И. С. Ошеров, Г. М. Насыбуллина, and А. Г. Бабенко. "Assessment of the impact of work with PC on the health of professional users on the results of periodic medical examination." In Modern problems of occupational medicine: The all-Russian scientific-practical conference devoted to the 80th anniversary of academician N.H. Amirov. Kazan state medical University; FSBSI “RIOH”, 2019. http://dx.doi.org/10.31089/978-5-6042929-0-7-2019-1-20-23.

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Юй, Н. Д., Н. Н. Малютина, and А. А. Титов. "Medical information system "Routine: management of the medical organization" in carrying out preliminary and periodic medical examinations." In III International Scientific Forum "Health And Safety At The Workplace". Polikraft, 2019. http://dx.doi.org/10.31089/978-985-7153-76-3-2019-1-3-355-357.

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Godderis, Lode, Jonas Steel, and Jeroen Luyten. "1702d Effectiveness of periodical medical examination to prevent work-related ill-health." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.458.

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Delaunay, Nathalie, and Miriam Marchon. "Obstructive sleep apnoea syndrome: a screening test for periodical medical examinations?" In ERS/ESRS Sleep and Breathing Conference 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/23120541.sleepandbreathing-2017.p11.

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Комлева, Н. Е., А. Н. Данилов, А. Д. Трубецков, and Н. В. Скворцова. "Optimization of diagnosis of diseases of the shoulder area at the stage of periodic medical examinations." In III International Scientific Forum "Health And Safety At The Workplace". Polikraft, 2019. http://dx.doi.org/10.31089/978-985-7153-76-3-2019-1-3-145-149.

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Бабанов, С. А., Л. А. Стрижаков, Д. С. Будаш, А. Г. Байкова, Р. А. Бараева, Н. В. Дудинцева, and М. Ю. Вострокнутова. "Periodic medical examinations of workers in hazardous working conditions: unresolved issues and ways to improve quality." In III International Scientific Forum "Health And Safety At The Workplace". Polikraft, 2019. http://dx.doi.org/10.31089/978-985-7153-76-3-2019-1-3-18-21.

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Трошин, В. В., И. А. Умнягина, and Н. В. Владыко. "Data on the prevalence of diseases on the results of periodic medical examinations in the Nizhny Novgorod region." In Modern problems of occupational medicine: The all-Russian scientific-practical conference devoted to the 80th anniversary of academician N.H. Amirov. Kazan state medical University; FSBSI “RIOH”, 2019. http://dx.doi.org/10.31089/978-5-6042929-0-7-2019-1-182-184.

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Широков, А. Ю., В. Н. Голдобин, Н. М. Савичева, and Р. В. Яшин. "Analysis of the first established somatic diseases by the results of periodic medical examinations at JSC "Salavat chemical plant"." In III International Scientific Forum "Health And Safety At The Workplace". Polikraft, 2019. http://dx.doi.org/10.31089/978-985-7153-76-3-2019-1-3-347-350.

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Arantes, Adriana, Anne Santanna, Ana Paula Mendonça, Rosângela Cruz, Denise Cortês, Adriana Carvalho, Eduardo Pinto, et al. "The value of Berlin questionnaire to identify patients at risk for the sleep apnea syndrome in the periodical medical examinations in companies." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa2412.

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Öngel, Volkan, and Emel Duran. "Analysis of Cerrrahpaşa Medical School Hospital's Children Nephrology Service in Terms of Length of Stay in 2012." In International Conference on Eurasian Economies. Eurasian Economists Association, 2015. http://dx.doi.org/10.36880/c06.01428.

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It is known that operational costs of health care organizations constitute an important part of health expenditure in the world. Careful examination of all kinds affecting costs is inevitable in order to provide more effective and efficient health care services. For this reason, in the study, impact of factors affecting hospitalization period on costs is mentioned. The purpose of the study is to measure the effects of these factors on costs by identifying the factors prolonging the duration of patients’ hospital stay. It is regarded that the factors extending the duration of patients’ hospital stay increase the costs. In the scope of the study, 405 patients who are discharged from Cerrahpaşa Faculty of Medicine Hospital Pediatric Nephrology Service in 2012 are discussed. Variables of the study, the average hospitalization days, number of patients, the maximum number of patients, bed occupancy rate, bed turnover and bed units are used in the rev range. The data of the patients included in our study has been gathered with the help of retrospective study area, retrospective method, scanning archives, and financial epicrisis in the system of hospital automation. The obtained data have been studied on standard deviation, maximum and minimum value by making use of the excel programme. As a result of studies based on these reviews, it has been found out that the factors extending the period of patients’ hospital stay increase the costs.
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