Role of Family Physician in Periodic Health Assessment Screening: A Review

A family physician is considered the first line of healthcare with patients. In the public sector, a medical officer is a generalist with no postgraduate training. The periodic health assessment has its roots at least as far back as the industrial revolution, employers paid for annual medical fitness examinations and tests to assess the state of their workers with intention of keeping their workforce healthy and safe. The technique is now included into the work of primary care physicians and is still practiced across multiple countries but it may be named with a different name such as Periodic health examination (PHE). The PHE allows for the implementation of evidence-based preventative measures, the education of patients on lifestyle issues, the updating of vaccines, and, most importantly, the detection of risk factors and diagnoses by updating the patient's cumulative profile. In low-risk individuals, however, treatment may not be essential every year. There’s serious question about the value of Periodic health assessment/examination. In this article we’ll be reviewing the PHE, its value and the role of family physician in it.

Integration of Health Risk Management Techniques to Address Increasing Numbers and Prevention of Non-Accident Deaths NAD in Oil & Gas Operations

Over the last decade, Oil & Gas operations have come under tremendous pressures due to increasing production demands and venturing into harsher environmental conditions, increasing the health risks to crew with underlying medical conditions. Although there are strict medical fitness, requirements in place to reduce the vulnerability of crewmembers, increasing number Non Accidental Deaths (NAD) have challenged the Oil & Gas operations. NAD risks are often linked with medical assessment/fitness to work, training and medical emergency response, NAD questions the adequacy of management controls at work locations, especially in remote locations. ADNOC Group Companies adopt very HSE high standards to protect the workers, environment and assets; however, the risks of aggravating underlying medical conditions, illnesses or disorders often materialize and result in NADs. An extended analysis of over historical NAD events was performed and strengths of NAD barriers (Tayab et al, 2012) was assessed. Based on the review NAD Barriers were further redefined as follow:Adequacy of pre-employment medical assessmentAlert of underlying medical conditionsFollow up on chronic medical conditionsAlert for abnormal behavioursAwareness & Training It was found that over 70% of NAD cases were triggered due to aggravation of chronic illnesses, approximately 50 % of NAD cases were triggered during the first year of employment, 77% of NAD cases were due to cardiovascular illnesses and 18% were due to suicides and 13% were attributed to COVID & other factors. Additional NAD barriers were identified to update the barrier analysis as follows:Alert for abnormal behaviorReadiness to manage Medical EmergenciesWelfare & Counselling

Analysis of the Results of Professional Selection of Cosmonaut Candidates by Physical Readiness in 2019–2020.

The paper deals with the results of professional selection of cosmonaut candi-dates by physical readiness in 2019–2020 within the framework of the third open contest. The basis for this analysis was the documented medical fitness certificates of applicants developed according to the results of performing the normative physical exercises by them during the full-time selection stage at “Yu.A. Gagarin R&T CTC” FSBO.

The Implementation of Offshore Safety Program OSP in Nigerian Oil and Gas Industry- A Performance Assessment

The Offshore Safety Permit (OSP) Program is the Personnel Accountability System, being utilized by the Nigerian Oil and Gas Industry Regulator, in line with global best practices to manage the details of over 40,000 oil workers registered to work on offshore and swamp facilities and track their movements to-and-fro such facilities. The Program was introduced in 2012 to standardize requirement for personnel travel to offshore and swamp locations and to eliminate issues such as: non-compliance with mandatory competency and safety training; non-compliance with medical fitness to work requirement; unauthorized extended stay on facilities at offshore/remote location; inaccurate documentation of personnel movement to-and-fro facilities at offshore/remote location leading to delayed/wrong incident reporting. This paper examines, through the review of the OSP policy, Guidelines and database, the value addition of the program since its inception., detailed and insightful discussions are made on the importance and potentials of the OSP program as a simple but integral policy and planning tool in managing risks, enhancing collaboration and improving safety and emergency services in Nigeria's oil and gas industry.

Motivation for Physical Activity: Validation of the Dutch Version of the Physical Activity and Leisure Motivation Scale (PALMS)

Understanding motivation for exercise can be helpful in improving levels of physical activity. The Physical Activity and Leisure Motivation Scale (PALMS) measures distinct goal-oriented motivations. In this study selected measurement properties of the Dutch version (PALMS-D) are determined. Forward-backward translation was used for cross-cultural adaptation. Construct validity of the PALMS-D was assessed in five subsamples completing the PALMS-D and the Behavioral Regulation in Exercise Questionnaire (BREQ-3). The study population consisted of five samples recruited from different populations; samples consisted of runners, hockey players, soccer players, participants in medical fitness, and a sedentary group of young adults with low activity. A total of 733 participants completed the questionnaire: 562 athletes and 171 non-athletes. Exploratory for Analysis confirmed the original eight factors. Internal consistency of the subscales was high, except for Others’ expectations. The a priori determined hypotheses related to differences between athletes participating in different sports were confirmed, as well as the hypothesis related to differences between amateur athletes, patients in medical fitness, and non-active participants. It was concluded that the Dutch version of the PALMS is an acceptable questionnaire with which to evaluate the individual motivation of athletes in the Netherlands, and discriminates between different leisure athletes, patients in medical fitness, and non-active youths.

Frequency of incidental ocular findings during pre-employment screening at a tertiary care Eye hospital

Objective: To highlight the prevalence of incidentally discovered ocular findings harvested amongst candidates of different age groups presented for pre-employment screening in a tertiary care eye hospital. Methods: This Cross sectional prospective study was conducted in Armed Forces Institute of Ophthalmology, Rawalpindi, from Jun 2018 to Dec 2019. Data was collected using non-probability consecutive sampling technique. All candidates who appeared for medical fitness examination were included. Candidates belonged to various regions of Pakistan. Complete ophthalmic checkup including visual acuity, best corrected visual acuity, anterior and posterior segment examination was performed. The data analysis was done by IBM SPSS 2.0 software. Results: One thousand and five hundred (1500) candidates underwent ophthalmic medical fitness examination during Jun 2018 to Dec 2019, out of these 86% (1290) were males and 14% (210) were females. Mean age of the candidates was 23.14 ± 5.66 years. The most common incidental ocular findings were amblyopia 24.6% (369), strabismus 10% (150), cataract 7.3% (110), macular scar 6.5% (100) and colour vision deficiencies 5.5% (82). Conclusion: The study demonstrates that out of total patients, 77% (1095) were found to be asymptomatic and 23% (405) were symptomatic. The study provides frequency for prevailing diseases and can help in improvement of eye care screening. doi: https://doi.org/10.12669/pjms.37.3.3177 How to cite this:Khan S, Rafique A, Zafar O. Frequency of incidental ocular findings during preemployment screening at a tertiary care Eye hospital. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3177 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Sustainable Wearable System: Human Behavior Modeling for Life-Logging Activities Using K-Ary Tree Hashing Classifier

Human behavior modeling (HBM) is a challenging classification task for researchers seeking to develop sustainable systems that precisely monitor and record human life-logs. In recent years, several models have been proposed; however, HBM remains an inspiring problem that is only partly solved. This paper proposes a novel framework of human behavior modeling based on wearable inertial sensors; the system framework is composed of data acquisition, feature extraction, optimization and classification stages. First, inertial data is filtered via three different filters, i.e., Chebyshev, Elliptic and Bessel filters. Next, six different features from time and frequency domains are extracted to determine the maximum optimal values. Then, the Probability Based Incremental Learning (PBIL) optimizer and the K-Ary tree hashing classifier are applied to model different human activities. The proposed model is evaluated on two benchmark datasets, namely DALIAC and PAMPA2, and one self-annotated dataset, namely, IM-LifeLog, respectively. For evaluation, we used a leave-one-out cross validation scheme. The experimental results show that our model outperformed existing state-of-the-art methods with accuracy rates of 94.23%, 94.07% and 96.40% over DALIAC, PAMPA2 and IM-LifeLog datasets, respectively. The proposed system can be used in healthcare, physical activity detection, surveillance systems and medical fitness fields.