Utility of regular medical examinations of occupational divers

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dc.contributor.author Sames, C en
dc.contributor.author Gorman, Desmond en
dc.contributor.author Mitchell, Simon en
dc.contributor.author Gamble, Gregory en
dc.coverage.spatial Australia en
dc.date.accessioned 2012-05-13T21:42:29Z en
dc.date.issued 2009-11 en
dc.identifier.citation Intern Med J 39(11):763-766 Nov 2009 en
dc.identifier.issn 1444-0903 en
dc.identifier.uri http://hdl.handle.net/2292/17938 en
dc.description.abstract The utility of regular medical fitness-for-diving examinations of occupational divers is unknown. The aim of this audit was to investigate the impact on the employment of occupational divers of a 5-yearly medical examination and an annual health surveillance questionnaire administered in intervening years. The medical records of all New Zealand occupational divers registered with the Department of Labour for at least 5 years were audited (n= 336). Each record included at least two full medical examinations (mean spacing of 5.6 years). An impact on career was defined as the diver being issued with either a conditional certificate of fitness or being graded as temporarily or permanently unfit for diving. The means by which the relevant medical issue was identified was recorded. Ten (3%) of 336 divers had an assessment outcome, which had a career impact. One was considered permanently unfit, four were temporarily unfit, and five were issued with conditional certification. Two were identified by respiratory function testing and eight by way of their responses to the questionnaire; none was found by the medical interview and examination process. The questionnaire system did not 'miss' any divers who developed a critically important health problem, and detected most of those with less important problems. Five yearly medical examinations have a low detection rate for important health problems, but remain useful for discussion of risk understanding, acceptance and mitigation. en
dc.language eng en
dc.publisher Royal Australasian College of Physicians en
dc.relation.ispartofseries Internal Medicine Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1444-0903/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Adolescent en
dc.subject Adult en
dc.subject Aged en
dc.subject Cohort Studies en
dc.subject Diving en
dc.subject Female en
dc.subject Humans en
dc.subject Male en
dc.subject Middle Aged en
dc.subject New Zealand en
dc.subject Occupational Diseases en
dc.subject Occupational Health en
dc.subject Patient Acceptance of Health Care en
dc.subject Physical Examination en
dc.subject Physical Fitness en
dc.subject Young Adult en
dc.title Utility of regular medical examinations of occupational divers en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1445-5994.2009.02055.x en
pubs.issue 11 en
pubs.begin-page 763 en
pubs.volume 39 en
dc.rights.holder Copyright: Royal Australasian College of Physicians en
dc.identifier.pmid 19912402 en
pubs.author-url http://onlinelibrary.wiley.com/doi/10.1111/j.1445-5994.2009.02055.x/abstract en
pubs.end-page 766 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 198783 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Anaesthesiology en
pubs.org-id Medicine Department en
dc.identifier.eissn 1445-5994 en
dc.identifier.pii IMJ2055 en
pubs.record-created-at-source-date 2012-05-14 en
pubs.dimensions-id 19912402 en

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