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[Patient listing system--grouping of patients and workload of physicians. Patterns in general practice in the municipality of Trondheim].

To assess the impact of patient mix on general practitioners' work-load within a list patient system, a "key" was constructed for computing expected use of general practitioners' services by patients on a doctor's list. The key was based on empirically observed variations in consultation rates for different age and sex-groups. Computations were made for 90 general practitioners in Trondheim. Expected patient weight varied in accordance with the proportion of women and of old patients on the doctor's list. The mean expected use of consultations was approx. 6% higher for patients on female doctor's lists relative to patients on male doctors' lists. The difference between the patients of male and female doctors respectively was far less than previously expected. This is explained by the fact that female doctors - compared with their male colleagues - usually have more children and fewer old people on their list of patients.

Adolescent↗

In-patient workload in medical specialties: 1. Demographic profiles and time trends from linked statistics.

Admission rates, multiple admissions per individual and time spent in hospital in general medical and geriatric care are described using data from the Oxford Record Linkage Study from 1968-86. For patients aged 15-39 years, age-specific admission rates did not vary appreciably with age and were a little higher in women than in men. For patients aged 40 years and over, admission rates rose steeply with age and were considerably higher in men than in women. Admission rates, measured as episodes, increased over time by 3.4% per year in women and 3.7% in men. Measured as individual people admitted per year, they increased by 2.2% per year people in women and 2.6% in men. Expressed as age-standardized rates, they increased by 1.5% per year in women and 1.8% in men. The greater rise in episodes than in people treated reflected an increase in repeat admissions per patient admitted. Mean length of stay per hospital episode and total time spent in hospital per patient admitted per year both showed a consistent decline over time. Increases in admission rates were seen in all of the common broad clinical groupings studied, except infectious diseases which, as a group, showed a mean annual decrease of just over 2% per year.

Adult↗

[Physical workload demands: the combined use of 2 evaluation programs].

A computerized methodology is presented for the "on-site" evaluation of work-related physical activities in industrial plant workers. Subjects were videotaped during the activities while heart rate and subjective perception of effort were monitored. The videorecordings were then analyzed with two appropriate software, in order to identify activities at high risk for musculoskeletal injuries ("Vision 3000" program, Promatek Ltd., Montreal) and to evaluate energy expenditure ("Energy" program, University of Michigan). Validation of the energy expenditure indirect analysis system was done by monitoring oxygen consumption (VO2) with a portable telemetric oxygen uptake analyzer ("K2", Cosmed, Rome). No statistically significant differences were found between direct measurements of VO2 and laboratory-derived estimates of energy consumption. The utilization of these two software provides a fast and reliable profile of job requirements and associated risks of musculoskeletal injury.

Biomechanical Phenomena↗

[Effect of working shift timing and different workload on development of fatigue in workers].

The authors studied functional changes of central nervous and cardiovascular systems among operators having variable work strain (airlines dispatchers, operators of robot complexes, TV operators) and changeable duration of working shift (8 and 12 hours). Analysis of the materials considered work strain in the occupational groups (I, II and III degrees of strain) and duration of the working shift. The results proved that the fatigue degree depends on the work strain degree and duration of the working shift, so prophylaxis and normal work duration could be set.

Adaptation, Physiological↗

[Experience in determining workload standards for the forensic medical expert in a genomic fingerprinting laboratory].

Working time expenditures needed for expert evaluation of material evidences by analysis of polymorphic genome sites using polymerase chain reaction and for establishment of a doubtful parentage by genomic "dactyloscopy" method were assessed. The measurements helped establish monthly and yearly standard load, that is, the number of expert evaluations per forensic medical expert of genomic "dactyloscopy" laboratory.

DNA Fingerprinting↗