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At least 343 records · Page 19Linked to original sources
PubMed1983

[SUVA (Swiss Accident Insurance Fund) and silicosis. Silicosis in Switzerland. Development of technological dust control].

In Switzerland the technical measures against quartz dust started in 1948 when wet drilling was compulsoryly introduced, initially in underground mining. The miners using the first wet drilling machines had serious problems with water, and only with the introduction of carriage drilling machines in 1963 did the method fully break through. Dust caused by blasting operations and by loading of the resultant material was limited by ventilation and sprinkling of water. In 1966 the first full-face cutting machines were used, and it was necessary to install a dust chamber behind the drill from which dust could be taken to a dust arrester. The problem of dust limitation when using boom cutters at sectional areas of more than 20 sq. meters without a pilot tunnel has not been resolved. Since 1970, dust in quarries and stone-cutter workshops has been successfully combated by the use of exhaust pumps in combination with filters. The use of quartz sand to clean metal pieces (sandblast) was forbidden in 1960. Today, materials of the same value, but quartz-free, are available. In foundries, dust production can be limited by continuous automation and installation of exhaust pumps in moulding units. For more than 30 years now the technical equipment has been available for successful prevention of quartz dust emissions. However, at some plants it is still difficult to persuade the personnel to use the protective equipment.

Dust↗
PubMed2004

[Chances for advancement of outpatient rehabilitation in Germany].

Rehabilitation has a long tradition in Germany compared to other countries and is based upon a differentiated, social law foundation. Rehabilitative offers are provided as standard benefits by different social insurance schemes (pension insurance, health insurance, accident insurance, etc.) and are an independent task of care not included in acute care. A high degree of institutionalisation and specialisation are specific characteristics of rehabilitation in Germany. A country-wide network of indication specific, mostly larger institutions is available for medical rehabilitation in Germany. This emergence of centres and the location of many institutions in more rural regions give rise to the fact that rehabilitation often cannot take place close to the places of residence of those who are in need of rehabilitative offers. Until the mid-nineties, rehabilitative benefits have been performed almost exclusively on an inpatient basis, which is another characteristic of medical rehabilitation in Germany. Since then the discussion about ambulant rehabilitation has been increasing. Several initiatives are aimed at supplementing the present in-patient offers through ambulant measures. This article describes and analyses the present efforts for the development of ambulant rehabilitation. In reference to the guidelines of the BAR (Federal Rehabilitation Council) concerning ambulant medical rehabilitation, adopted by all institutions involved in 2000, the current situation and the state of implementation are discussed, and advancements necessary in the authors' view are considered.

Ambulatory Care↗
PubMed2004

[Certificates for insurances: common law, industrial accidents, personal insurances].

The certificates for the insurances are medical testimonies based on this principle: the truth, all the truth, nothing but the truth. They must give to the insurance the informations which are essential for building the patient's file, but they must respect the rules of ethics and the laws concerning the protection of privacy and the patient's rights. The certificate giving the description of the traumatic lesions is essential in all the procedures but the physician must know what to write and to whom this document must be delivered. In common law, where the victim must prove the lesions and their traumatic origin, the certificate is due to the patient himself. In industrial accidents, the specific law of 10 April 1971 dictates the contents of the several certificates: report of the lesions, recovery, review. In personal insurance, the law concerning the patient's rights teaches the limits of the information and to whom it must be given. The certificate is a service and a right of the victim; it must be quite relevant.

Accidents, Occupational↗
PubMed1994

[Medical insurance problems of professional athletes].

Like every working person employed in Switzerland, sports professionals are also required to be insured under the Accident Insurance Law--the mandatory social accident insurance in Switzerland. They can also take out supplementary private insurance contracts for cases in which the mandatory accident insurance does not cover the total injury claim. Often the limitations imposed by law on accident insurance do not meet the demanding individual requirements of sports professionals, or more precisely, those of their employers. A survey of private insurance companies showed some difficulties encountered with the regulations regarding the damages of sports professionals. The main differences concern the interpretation of the legal terms of the notions of accident, of lesions assimilated to an accident and of occupational disease, questions of causality, problems of economy of treatment, excesses of rehabilitation, discrepancy between the ability for any working and the ability for sport, certain career constraints, and finally, problems with the termination of the career brought about by an accumulation of a series of chronic injuries.

Adult↗
PubMed1975

[Medical opinions on fatal auto-erotic accidents for insurance purposes (author's transl)].

The problematic nature of medico-legal opinions on fatal auto-erotic accidents made for private accident insurance companies is outlined in a survey based on our own records. Taking the "General Insuranc Terms for Accident Insurance" (AUB) into consideration, guidelines for the forming of such opinions are given. One is warned not to form summary opinions. Decisive is the insured's state of conciousness when the accident was triggered. Only in exceptional cases can an insurance covered accident be rejected because of a body injury inflicted by the insured on himself (see article). These actions do not usually result in external injury to the body. Experience proves that "ideal conditions" for forming an opinion are rarely given. Also, the nature of the death situation is such that often the corpse is discovered only days after death. From the outset, forming a medical opinion is beset with varying degrees of difficulty depending upon which category of auto-erotic activities the accident falls into: 1. direct stimulation of the erotic regions, 2. stimulation of sexual centers in the central nervous system, 3. the creation of fear and anguish in the context of masochistic perversion. According the presently valid insurance terms (AUB), cases of auto-erotic electrocution are to be regarded as covered. A disturbance of consciousness--with the exception of such disturbances following the influence of alcohol, medicines or narcotics--cannot be assumed for the moment in which the accident was triggered. At this moment body "integrity" was also intact. Accidents through strangulation, respectively asphyxiation (plastic bags etc.), usually occur during a disturbance of consciousness of the victim. This disturbance is the result of cerebral hypoxia, that is a result of strangulation, respectively external respiratory obstruction. The forming of a medical opinion for insurance purposes on auto-erotic accidents with clearly recognizable masochistic tendency is particularly difficult. A medical decision is only possible when an exact examination and description of the scene of the accident are available. In these instances, mechanical devices rigged by the victim often do not permit with sufficient probability to exclude the possibility of an accident without disturbance of consciousness on the part of the insured.

Asphyxia↗
PubMed1991

[Athletic accident and insurance].

While working-time has been reduced, time spent for leisure is growing and sports also get more important. This can be remarked in media as well as in different domaines of economy. Risks, concluded with sports are as different as the people who are affected by such risks. Legal insurance cover in the domain of sports is just partly given, hence it is much more advisable to effect a private insurance.

Athletic Injuries↗