Preemployment physical examinations. Report of a pilot program

1. Due to costly workers' compensation claims, the state of Arizona instituted a preemployment physical exam program for state jobs. 2. Thorough job analyses are conducted for working conditions and physical ability requirements on high risk jobs, and medical/physical guidelines are established for those jobs. Physical exams are specific for the job class. 3. The program is projecting a net annual savings of over $208,000 for workers' compensation back injury claims.     

Parental preparation of children for routine physical examinations.

Preparation of the child and parents/caretakers for health care events is expected to decrease a child's anxiety and uncooperative behaviors. The purpose of this study was to ascertain the methods of preparation (discussion, reading, play, other) and levels of discussion used by parents in readying their preschool and school-age children for six selected events during routine physical examinations. A phone survey was conducted to all parents of children, ages 2 to 12 years, who visited an academic nursing center or public school for a routine physical examination (n = 132). The events are "listen to heart," "look in ears," "take temperature," "feel the stomach," "look at the throat," and "give a shot." The most common method of preparation parents used was discussion that consisted largely of procedural information rather than a reciprocal dialogue with the child. Preschool children were told what the health care provider would do and what they should do during the physical examination more often than school-age children.     

110例不育症患者精液标本常规化学检查与理学检查结果分析

目的探讨精液常规化学检查项目在精液分析中的意义。方法采用国联精子质量检测系统软件和东芝TBA120FR全自动生化分析仪分别对110例男性不育症患者的精液标本进行常规化学测定和理学检查,对检查结果进行相关分析。结果 110例男性不育症患者中精浆肌酸激酶(CK)与精子密度呈正相关,精浆胱抑素C(CysC)与总蛋白(TP)呈正相关。结论精浆TP及Cys C水平降低是精子质量下降的标志之一,CK能否作为可靠的精液生化标志物,有待进一步实验证实。     

银行职工体检状况及相关因素分析

目的 对银行职工体检结果进行分析,了解职工的自我保健意识,以便制订职工健康教育方式.方法 收集904名银行职工健康体检资料,并对结果进行统计分析.结果 在904名被检者中,检出有异常者510例,占总人数的56.4%,前4位疾病顺位是:高脂血症、脂肪肝、高血压、高尿酸血症.且随年龄增长,患病率呈上升趋势.发病均与生活方式密切相关.结论 应加强对银行职工健康教育和行为干预,促使职工自觉改变不良行为,建立良好的生活方式.     

Interexaminer reliability of observations in physical examinations of the neck

The purpose of this study was to collect data on interexaminer reliability of a set of tests representative of the clinical examination of a patient with neck and radicular pain. A conventional neurological examination, palpations, and tests for the provocation or relief of radicular symptoms were performed on 52 patients by two independent raters. Good reliability was obtained in the atrophy inspection of the small muscles of the hand, in the sensitivity tests for touch and pain, and in the neck compression and axial manual traction tests. Fair reliability was obtained in muscle strength testing and in the estimation of the range of motion, and poor reliability was obtained for many palpations. Poor standardization of examination procedures and changes in the patients' attention were considered the main factors affecting reliability. Better operational definitions and procedures, such as the standardization of palpation pressure and traction force, are suggested for future studies.     

银行职工体检状况及相关因素分析

目的对银行职工体检结果进行分析，了解职工的自我保健意识，以便制订职工健康教育方式。方法收集904名银行职工健康体检资料，并对结果进行统计分析。结果在904名被检者中，检出有异常者510例，占总人数的56．4％，前4位疾病顺位是：高脂血症、脂肪肝、高血压、高尿酸血症。且随年龄增长，患病率呈上升趋势。发病均与生活方式密切相关。结论应加强对银行职工健康教育和行为手预，促使职工白觉改变不良行为，建立良好的生活方式。     

公务员体检人群高血压的调查与分析

目的了解我市公务员高血压的患病情况及防控状况。方法分析我市7765例公务员高血压的检出率、三率（知晓率、治疗率、控制率）百分比及危险因素比较。结果①我市公务员体检人群高血压的检出率为12.43%;②年龄越大,高血压的检出率越高;≥65岁女性组高血压的检出率上升较快;③公务员中高血压人群三率达标情况不容乐观;≤44岁年龄组高血压的治疗率仅为25.55%,控制率为21.74%;④高血压组高血糖、高血脂、心脏病及脂肪肝的检出率明显高于非高血压组。结论我市公务员群体高血压防治效果不容乐观,应进一步加强该群体的健康教育和保健工作。     

Cost effective job placement physical examinations. A decision making framework

1. Job placement physical examinations are performed to match the worker's physical capabilities with the anticipated job assignment. A careful analysis of the work setting and company philosophy should be done prior to structuring a program for job placement examination. These examinations also provide valuable baseline data. 2. Components of the examination should be tailored to the specific work setting and the identified purposes for performing job placement examinations. Job analysis, careful history taking, physical examination, and laboratory and specialized testing are common aspects. 3. Results obtained in the job placement examination program should be handled carefully and ethically to comply with government regulations and legal implications.     

4139例健康体检者肿瘤标志物检测的临床分析

目的对健康体检者进行肿瘤标志物癌胚抗原(CEA)、糖抗原19-9(CA19-9)、前列腺特异性抗原(PSA)、糖抗原125(CA125)、甲胎蛋白(AFP)检测,以了解其在健康人群中的分布状况。方法采用天津新湾生物科技有限公司生产的进口分装的酶联免疫试剂盒及酶标仪进行检测。结果结果表明:4139例健康体检者肿瘤标志物CEA、CA19-9、PSA、CA125、AFP的检测均值±2个标准差范围均小于试剂盒提供的参考范围。结论肿瘤标志物用于健康人群的筛查,对于肿瘤的早期发现具有重要应用价值。