Téma: Original Works

Retrospective study of the trend of occupational diseases and evaluation of capacities of occupational medicine in slovakia

Janka Buchancová, Ľubomír Legáth, Henrieta Hudečková, Viera Švihrová, Lukáš Murajda

The authors based their work on data about the occupational diseases (ODis) quoted in healthcare yearbooks in the Slovak Republic. These data they extended with their own findings and analyses of ODis in retrospective and prospective view. They evaluated the causes of a decrease of the total number of ODis in the SlovakRepublic (in 1988 there were 1 131 cases and in 2007 there were 556 ODis) and an increasing percentage of the diseases of the locomotor apparatus of extremities, where disease from prolonged excessive uniform load of extremities and disease from vibrations in 2007 represented 72,5 % from all ODis reported that year, which calls for attention in prevention, diagnostics and treatment. They comment the causes of decrease of professional damage of hearing by noise and decrease of skin diseases and professional intoxications, which does not necessarily need to be in accordance with the true occurrence. To enhance prevention with the aim of decreasing the true occurrence of ODis they emphasize a need of developing the occupational health services and a necessity of increasing the qualification for this field. In state sector in the Slovak Republic there work currently 16 doctors altogether, with a specialization in clinical occupational medicine. Their average age is 52.8±8.1 years (x±SD), three quarters of them above 50 years. The Slovak Medical University in Bratislava at the present does not have any younger applicants for this specialization in the evidence. The incidence of ODis in the EU in 2004 was according the accessible data 39.1/100 000, in Slovakia in 2006 it was 9.5/ 100 000. The authors comment possible causes of the difference and a bias which a mechanical comparison of the incidence in the EU countries could create. Fact is, that the catchment of professional damages needs to be improved, starting with their subclinical manifestations. Here a professional history has traditionally an unsubstitutable role, leading to a further medical diagnostic procedure in case of suspicion of negative influence of work on health. The diagnostics heads towards then to revealing the professional disease, to a need of quitting the exposure, to a start of causal therapy and measures directing to the workplace again, with an objective to implement a bundle of primary prevention.

Ročník 2008  Témy časopisu Internal medicine 12 / 2008

CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ivica Lazúrová, CSc. FRCP

REPRESENTATIVE OF CHAIRMAN
prof. MUDr. Juraj Payer, CSc., FRCP

MEMBERS OF THE EDITORIAL BOARD
doc. MUDr. Viera Fábryová, CSc.
MUDr. Viera Fedelešová, CSc.
prof. MUDr Martin Haluzík, CSc.
prof. MUDr. Štefan Hrušovský, CSc. Dr.SVS.
prof. MUDr. Rudolf Hyrdel, CSc.
doc. MUDr. Oľga Jurkovičová, CSc.
doc. MUDr. Zdenko Killinger, PhD.
doc. MUDr. Soňa Kiňová, PhD.
prof. MUDr. Peter Mitro, PhD.
doc. MUDr. Viliam Mojto, CSc., MHA
prof. MUDr. Karel Pacák, DrSc.
prof. MUDr. Juraj Payer, CSc., FRCP
doc. MUDr. Ján Podoba, CSc.
prof. MUDr. Igor Riečanský, DrSc.
doc. MUDr. Ján Staško, PhD.
doc. MUDr. Mária Szántová, PhD.
prof. MUDr. Ivan Tkáč, PhD.

EDITOR-IN-CHIEF
Eva Stachová
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OVERVIEW PAPERS
The latest knowledge on disease and disease groups aetiology, pathogenesis, diagnoses and therapy. Maximum size is 7 pages (font size 12, line spacing 1.5) with maximum six pictures (graphs). In case of more extensive theme it is possible to divide the paper to several parts after agreement with editorial office. Write the article with emphasis on its practical usage for out-patient internists and general practitionrs.

CASE STUDY
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DIAGNOSTIC AND THERAPEUTICAL ALGORITHMS
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1. An accurate paper title, names and surnames of all authors including titles, authors` workplace. The first author address including the phone number, fax and e-mail address.

2. Summary - concise content summary in the extent maximum 10 lines (only at overview papers, case studies and Appendices - General Medicine). Write in 1st or 3rd person singular or plural (unify according the type of an article).

3. Key words - in the extent of 3-6 (only for overview papers and Appendices - General Medicine). 4. English translation: paper title, summary, key words (only at overview papers, and Appendices - General Medicine)

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6. Bibliography
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Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett ́ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285(4): 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
5. Osborne BE. The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.

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b. Scandinavian origin
c. propionibacterium acnes
d. endothelial growth factor


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