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The use of heritabilities of anthropometric measures and performance tests in personnel selection.

An analogy exists between the mathematical models of psychological test theory and quantitative genetics. From this analogy we can conclude, that longitudinal correlation and heritability in the broad sense are equivalent expressions for the reliability in the long run. Since long-range prediction is the aim of index construction for personnel selection in athletics and other applied fields, we recommend to use heritability as a weighting factor for phenotypic scores in order to calculate true scores and to eliminate error variance.

Anthropometry

Aseptic bone necrosis among U.S. Navy divers: survey of 934 nonrandomly selected personnel.

Nine hundred thirty-four U.S. Navy divers were selected and surveyed radiographically using standard techniques developed for detecting aseptic bone necrosis (ABN). X rays were read by qualified radiologists. A total of 16 positive cases was detected, and another 11 were interpreted as doubtful. ABN was found to be related to age and number of months in diving. After controlling for these factors, ABN could not be related to any of seven indices of diving activity. Divers with ABN did, however, have a history of more treatments for decompression sickness (DCS) than did divers without ABN. Implications of these findings are discussed, and the suggestion is made that ABN and DCS may not be related causally, but may be related to a third common factor. The need for controlled studies is discussed. The conclusion is made that the low prevalence rates of ABN among U.S. Navy divers cannot be related to any specific index of diving activity, and may not be causally related to DCS.

Adolescent

[Experiences with high-frequency hearing tests in the selection of personnel for noise occupations].

A total of 181 persons aged between 16 and 18 were checked fully audiometrically (conventional and high-frequency audiogram). Dates of history about hereditary hearing damage, own ear diseases, noise exposure during frequent visits to discothecs or usage of Walkman etc. were ascertained by questionnaires. The evaluation of the results was carried out with the help of discrimination analysis allowing a multi-dimensional classification. As a result there could be made a sure discrimination analytic separation in persons with ear diseases during their childhood, when the high frequencies from 10 to 15 kHz were taken in. Thus the damage of the inner ear was to be found mainly on the base of the cochlea. Also in cases of hereditary influence there was to be seen a clear deminution in the high frequency area. The group of persons, who regularly went to discos (more than three times a month) as well as the group often using Walkman revealed a sure separation, when the high frequencies above 8 kHz were considered in the calculation. Altogether there could be seen an early damage more clearly in the high frequency area after ear diseases in childhood as well as a result of sound overloading than in conventional hearing area.

Adolescent

[Supplementary criteria of evaluation of health status in selecting the personnel for work in coal mines].

200 newly-engaged young miners were medically examined in an outpatient department. The routine examination techniques were supplemented with studies of the changes after 2 minute-long inhalations of 0.6% acetylcholine chloride and mine dust (78 mg/m3), hemodynamics and electrocardiography indices, as well as the indices of the immunologic and hormonal state. Established was diversified manifestations of the respiratory tract's response to the aerogenic irritations, combined with deviations in the immunologic state indices. The studies provide basis for further improvements in the preventive examination techniques for workers in coal-mining industries.

Acetylcholine

[Problems in primary and secondary selection of personnel for scientific research].

The author presents his own observations and reflections about the problems which appear with primary and secondary selection and election, in other words, with the selection, election and reelection of candidates, meaning personnel for scientific-research work at institutes and clinics of medical faculties in our country. He is in favor of the introduction of unique, agreed on, scientific and professional criteria, and with that, their strict obeying, without the influence of para-scientific factors, with the elimination of the attempts of such negative occurrences and attempted activities. In the process of secondary selection (reelection) the author recommends the strict obedience of principles of expertly proven scientific and professional qualities of the candidate, with giving priority and propulsive direction to the young, contemporarily educated and efficient workers in scientific research, and the principled elimination from institutes and clinics of such people which have not, up to now, actually proven themselves in the scientific and professional field. With this, broad spaces open for the constant selection of new young personnel and the removal of the insufficiently qualified "plethora" which blocks the further development and efficient work of scientific-research institutions at medical faculties.

Personnel Selection

Occupational demand and human rights. Public safety officers and cardiorespiratory fitness.

The issue of discrimination in physically demanding employment, such as police, firefighters, prison guards and military personnel, is contentious. In terms of oxygen transport, the 'action limit' (calling for personnel selection or task redesign) is a steady oxygen consumption of 0.7 L/min, while the maximum permissible limit is 2.1 L/min. Note is taken of the commonly expressed belief that public safety duties are physically demanding, calling for personnel with an aerobic power of at least 3 L/min, or 42 to 45 ml/kg/min. The actual demands of such work can be assessed on small samples by physiological measurements (using heart rate or oxygen consumption meters), but the periods sampled may not be typical of a normal day. A Gestalt can also be formed as to the heaviness of a given job, or a detailed task analysis can be performed; most such analyses of public safety work list distance running and other aerobic activities infrequently. An arbitrary requirement of 'above average fitness' is no longer accepted by courts, but a further approach is to examine the characteristics of those currently meeting the demands of public safety jobs satisfactorily. Young men commonly satisfy the 3 L/min standard, but this is not usually the case for women or older men; in the case of female employees, it also seems unreasonable that they should be expected to satisfy the same standards as men, since a lower body mass reduces the energy cost of most of the tasks that they must perform. A second criterion sometimes applied to physically demanding work (a low vulnerability to heart attacks) is examined critically. It is concluded that the chances that a symptom-free public safety officer will develop a heart attack during a critical solo mission are so low that cardiac risk should not be a condition of employment. Arbitrary age- and sex-related employment criteria are plainly discriminatory, since some women and 65-year-old men have higher levels of physical fitness than the average young man of 25 years. Neither laboratory nor field tests offer a satisfactory means of distinguishing such individuals, and the only equitable basis of selecting personnel for physically demanding work seems a probationary period of employment.

Cardiovascular Diseases

[The heritabilities of tests of physical fitness, calculated from the performances of ten years old twin pairs (author's transl)].

In the German Democratic Republic a representative sample of 300 twin pairs of normal 10 years old school children was measured and tested. From a subset of 480 pairs (153 pairs of opposite sex and 327 of the same sex) the heritabilities are calculated: stature 0,89; weight 0,88; 60 meters run 0,85; long jump 0,74; cricketball throw 0,54; push up 0,85; hop jump 0,66; endurance run 0,93; shot throw 0,71. The use of heritabilities as weighting factors in the construction of selection indices for purposes of personnel selection is discussed.

Child

[Reliability, heritability, correlation in longitudinal studies (author's transl)].

An analogy exists between the mathematical models of psychological test theory and quantitative genetics, as well as between the parameters, reliability and heritability, derived from these models. With the same results, heritability and correlation in longitudinal studies are only different approaches to the same problem, the reliability of measurement in the long run, that is of fundamental consequence for personnel selection.

Anthropometry

A new influenza surveillance system in France: the Ile-de-France "GROG". 1. Principles and methodology.

The aims of influenza surveillance have changed over the years. The early detection of epidemics is essential for practical decisions on vaccine development, strategy of vaccine prophylaxis, chemoprophylaxis or chemotherapy. A new surveillance system is presented which combines the classical specific data related to the isolations, direct detection of virus as well as serological findings, with non-specific indices. The rationale for definition and elaboration of such indices is discussed: selected parameters deal with medical activity of a panel of sentinel doctors (general practitioners and pediatricians), notifications of diagnosed acute respiratory viral infections, measure of emergency doctors activity, absence from work (as seen by physicians, insurance agencies or industrial personnel), selected drug prescription and consumption, hospital admissions. The sentinel physicians also cooperate in taking samples from cases, thereby extending the field of specific surveillance since they have contact with standard cases of the disease and not only hospitalized patients. A weekly comparison of time variations of specific and non-specific indices should permit a reliable evaluation of the epidemic situation and therefore be of great help for practical decisions. The system has operated since 1984, and the initial hypothesis of the sensitivity of some of the indices has already been verified.

Disease Outbreaks

Acceptance of quantity recipes with zero added salt by a military population.

The average civilian young man consumes approximately 5.5 g sodium daily in food plus an additional 20% as added salt. The average intake of military personnel may exceed this civilian level. The Surgeons General of the Military Services established 1,700 mg sodium per 1,000 kcal as the goal for sodium content in menus served in military dining facilities. We tested the acceptability of quantity recipes with zero added salt and control recipes with added salt in military dining facilities. Twenty-eight test recipes with zero added salt were prepared and offered on the regular serving line. Military personnel selecting the test items rated them for acceptability on a nine-point hedonic scale. Only 6 of the 28 recipes with zero added salt were rated significantly less acceptable than the control recipes. Chemical analysis of the test recipes showed an 11% to 87% reduction in sodium and a 28% to 80% reduction in chloride. Our results indicate that dietitians and/or foodservice managers can produce quantity food recipes that are reduced in sodium and acceptable to customers.

Chlorides

Development and implementation of clinical pharmacokinetic services.

The basic issues involved in the development and implementation of pharmacokinetic dosing services are presented. A quality pharmacokinetic dosing service is activated by pharmacists immediately upon receipt of a consultation request or medication order. The patient's status is assessed, and recommendations are made for initial dosage, timing of blood sampling, and laboratory tests. Serum drug concentration data are interpreted and a maintenance dosage recommended. The patient is then monitored. The personnel selected for a dosing service need not have advanced pharmacy degrees but must be highly trainable. Their training should address basic pharmacokinetic concepts, the pharmacokinetics of specific drugs, and details on running the service and should be reinforced by extensive on-the-job training. As with other services, staffing should be tailored to workload. Continuous oral and written communication among the dosing service pharmacists and between the pharmacists and the medical and nursing staffs is essential to the smooth and expeditious operation of the service, as are complete and well-written policies and procedures. A quality dosing service cannot exist without commitment from hospital administration and the director of pharmacy and responsiveness of the nursing department and laboratory to the service's exacting requirements. Ongoing research is necessary to evaluate the pharmacokinetic models and software packages used and to find ways of conserving time. High-quality pharmacokinetic dosing services enhance patient care and the image of hospital pharmacy.

Communication