The assessment of diagnostics of occupational voice diseases in the first and second instance on material from IMP and ZŚ in Sosnowiec in the years 2002–2005
Journal Title: Otolaryngologia Polska - Year 2009, Vol 63, Issue 1
Abstract
Introduction: An amendment of the Polish Occupational Diseases Certification Act of 2002 has essentially influenced on the procedures of diagnosis and certifi cation. Aim: The aim of the study was to assess the diagnostics of occupational vocal organ disorders in the first and second instance. The clinical diagnosis of the first and second instance certifi cation units were analyzed. Material and methods: The study covered 500 cases selected randomly from 921 teachers which applied to IMP and ZŚ in Sosnowiec in the years 2002–2005 in order to diagnose the occupational disease. In this group 298 patients were examined according to rules forced until the amendment act and 202 patients according to new rules. In the all patients the standard diagnosis and certification were carried out according to recommended procedures. Results: Among examined patients the most numerous group constituted teachers from primary school aged from 50 to 60 years, 35-years of seniority, specializes in elementary teaching and the Polish language. More than 80% of studied patients began the certification procedure concerning occupational larynx diseases to 5 years from stopping the exposure. Occupational disease was recognized in 71 patients, which was 14,2% of studied population. The most frequent occupational pathology, was vocal folds paralysis (79,2%), hypertrophy of the vocal folds was found rarely (16,6%) and vocal nodules were found most rarely (4,2%). According to old rules 18,5% of appeals were positively considered, i.e. 55 patients from 298 teachers, whereas according to new rules 7,9% of appeals, i.e. 16 patients from 202 teachers. Conclusion: Specifying the diagnostic criteria of teachers’ occupational diseases certification have made the significant impact on a consensus of decisions issued by the first and second instances. There was the statistically significant difference between frequency of the clinical diagnosis authorizing to pronounce the occupational disease according to old rules and according to rules which came into force from 2002.
Authors and Affiliations
Małgorzata Góra, Ewa Dębowska-Jarzębska, Anna Bronder
Keywords
Related Articles
- EP ID EP51649
- DOI -
- Views 121
- Downloads 0
List od Redaktora Naczelnego
<a href=# onclick=document.zmienLangEN.submit()>Streszczenie dost&#281;pne w j&#281;zyku angielskim!</a>
Problematyka zakażeń w Klinice Otolaryngologii i Onkologii Laryngologicznej Uniwersytetu Medycznego w Poznaniu na podstawie analizy lat 2006-2007
Introduction: Infections at ENT wards constitute an essential clinical, organizational and economic issue. Aim: The purpose of this work was to present the problem of infections at ENT Clinic of Poznan University of Medi...
Korelacja wyników ankiety SNOT-20 z obiektywnymi badaniami drożności i geometrii jam nosa
Wstęp: W pracy zweryfikowano korelacje pomiędzy wynikami ankiety SNOT-20 a wynikami obiektywnych badań drożności nosa – rynomanometrią i rynometrią akustyczną – wykonanymi przed i po leczeniu operacyjnym (septoplastyce,...
Kontrowersyjna rola bisfosfonianów w martwicy kości szczęk
Aim of the study: Evaluation of the role of bisphosphonates in jaw osteonecrosis. Material and methods: A retrospective cohort study on 29 patients. The bisphosphonate group consisted of 12 multiple myelomas, 3 breast ca...
Zaburzenia artykulacji u dzieci ze współistniejącymi zaburzeniami przetwarzania słuchowego — efekty terapii słuchowej
SUMMARY Aim: To assess effectiveness of the auditory training in children with dyslalia and central auditory processing disorders. Materia! and Method: Materia) consisted of 50 children aged 7-9-years-old. Children with...