Physiological rejimen with active brakes as a management policy for health and safety at work

Introduction: The scope of this work is the analysis of the presented data for optimal distribution and the following of the work and rest regimen in four organizations. In three out of these four organizations, the people involved in the study are employees of the organizations and the work they do is predominantly mental, while in the fourth organization the people are independent contractors and do mainly physical work.Material and Methods: In order to achieve the goals set in the theory analysis, analysis of scientific literature in the fields of interest was carried out. In addition, the determinants of health were considered as leading factors for the health and working capacity of the individuals as long as work and work environment is concerned. The questionnaire was presented to 80 working individuals, who were further divided into two groups: employees and independent contractors.Results: The participants in the study were predominantly men (59%) followed by the women (41%), all being between 40 and 45 years of age. The results show that 87,5% of the employees hold the opinion that rest periods during working hours are strictly followed. Only 13,5% of this group share the view that rest breaks are not strictly followed. Some of the participants in the study (12,5%) cannot comment on the regulated rest periods, while one of the volunteers who completed the questionnaire (2,5%) noted that no rest periods during working hours are used.Conclusion: The hypothesis of the study was confirmed and it was concluded that if the work and rest regimen is followed and the optimal working environment is created - healthy and safe environment for the employees of the organizations and companies in the country, it is possible that the working capacity of the individuals may be increased and they may become more effective when approaching their tasks at work. Based on the results of the study recommendations were made for presenting the working individuals with the opportunity to be physically active during resting periods

Role and Importance of Chlamydia Trachomatis in Pregnant Patients

AIM: The aim of this study was to assess the prevalence of chlamydial infection among pregnant women and to determine the role of this infection in the fetus.MATERIAL AND METHODS: In the first phase of this study were reported 58 pregnant women with a positive test for active chlamydial infection by applying immunofluorescence. In the second phase of the study were reported pregnant with premature burst membranes (PBM), postnatal complications associated with chlamydial infection as puerperal endometritis, and newborns are monitored for low birth weight and growth retardation at birth.RESULTS: With a positive test are 58 patients in the first trimester or pregnancy registration in our consultation. After regimen with Sumamed (2 x 500 mg for three days and after 10 days again same scheme for them and their partner) at the beginning of the third trimester, the PCR test was made again. Of these, 5 were positive again, participants are between 20 and 30 years old. With premature rupture of OM are 20 patients. There was no increased incidence of premature births. Infants born to infected mothers have a higher risk of developing respiratory symptoms in the first 60 days of life. 3 of them have low for his age bodyweight.CONCLUSIONS: The scarcity of data on manifestations of chlamydial infection during pregnancy and neonatal outcomes justifies this study. Early diagnosis for registration of pregnancy and timely treatment of chlamydial infection as well as scrutinising the infection during the third trimester of pregnancy can prevent infection of the newborn. Therefore, preventive examinations should be considered as a priority for early detection of asymptomatic chlamydial infection in the conduct of antenatal care

Les déterminants du choix du mode d'exercice en médecine générale (enquête qualitative par entretiens semi-directifs dans l'Hérault)

Apres 9 ans d'études et à la fin de leur internat, de nombreux jeunes médecins généralistes doivent faire un choix concernant leur mode d'exercice : vont-ils remplacer ou s'installeront-ils en libéral? Notre étude qualitative basée sur 14 entretiens semi-dirigés réalisés dans l'Hérault avait pour objectif principal de comparer les avantages et les inconvénients des deux modes d'exercice puis de comprendre pourquoi on repousse l'installation, ainsi que les mesures prises par le gouvernement pour pallier à cette tendance. Les remplacements comportent de multiples avantages tels que la liberté d'organisation, de l'emploi de temps et de la vie personnelle, la facilité de voyager, la fiscalité simple, l'absence de contraintes administratives, l'acquisition d'expérience professionnelle mais c'est également une période d'instabilité et d'irrégularité, et d'absence de suivi des patients au long cours. L'installation d'un autre côté rime avec stabilité personnelle et financière, permet un meilleur suivi des patients et une vraie reconnaissance envers le médecin traitant. Or, ces derniers ne semblent pas pouvoir contrebalancer les inconvénients de ce mode d'exercice: beaucoup trop de travail administratif, trop de charges, responsabilité plus importante, mauvaise couverture sociale. Toutes ces raisons expliquent pourquoi les jeunes médecins repoussent l'installation, le statut de remplaçant étant vu comme plus avantageux. Pour lutter contre ça, il existe des aides conventionnelles et fiscales à l'installation, mais est-ce suffisant pour motiver la nouvelle génération de généralistes à s'installer en libéral et qui plus est en zones sous-dotées?MONTPELLIER-BU Médecine UPM (341722108) / SudocMONTPELLIER-BU Médecine (341722104) / SudocSudocFranceF

Abstracts Of The Proceedings And The Posters From The Third Scientific Session Of The Medical College Of Varna

October 2-3, 201