Now showing items 1-20 of 252

    • [Psychological examinations in occupational health services: Legal regulations. Part II].

      Waszkowska, Małgorzata; Wężyk, Agata; Nofer Institute of Occupational Medicine (2018-12-18)
      This paper constitutes a continuation of the critical analysis of legal aspects of psychological examinations in some group of workers. In this part the appeal procedure, documentation, costs of examinations and supervision are discussed. The analysis has shown many deficiencies in regulations related to all aspects of psychological examinations. They arise from incoherence of legal regulations and the lack of regulations of some questions. This legal standing is restricted to occupational work and adversely affects the quality of supplied services. Therefore acts of law and regulations relevant to psychological examinations for the purpose of fitness-to-work certification need necessary adjustments. According to authors it is desirable to end the legal procedure amending the act of law on a profession of psychology and the self-government of psychologists, as well as to develop and implement executive regulations. Med Pr 2018;69(6):673-684. Artykuł kontynuuje krytyczną analizę prawnych aspektów badań psychologicznych różnych grup pracowników. W tej części omówiono kwestie dotyczące procedury odwoławczej, dokumentowania, kosztów oraz nadzoru nad badaniami. Obserwacje ukazały ich liczne niedoskonałości związane ze wszystkimi aspektami badań. Wynikają one z niespójności przepisów aktów prawnych oraz braku regulacji niektórych zagadnień. Taki stan prawny utrudnia psychologom prowadzenie czynności zawodowych i niekorzystnie wpływa na jakość wykonywanych świadczeń. Dlatego wprowadzenie zmian w ustawie i rozporządzeniach regulujących zagadnienia związane z wykonywaniem badań psychologicznych o zdolności do pracy jest konieczne. Pożądanym rozwiązaniem, zdaniem autorek, byłoby zakończenie prac nad ewentualnymi zmianami w ustawie o zawodzie psychologa i samorządzie psychologów oraz przygotowanie i wprowadzenie w życie odpowiednich aktów wykonawczych. Med. Pr. 2018;69(6):673–684.
    • [Evaluation of on-the-job noise exposure in the case of bartenders].

      Dudarewicz, Adam; Zaborowski, Kamil; Wolniakowska, Anna; Pawlaczyk-Łuszczyńska, Małgorzata; Śliwińska-Kowalska, Mariola; Nofer Institute of Occupational Medicine (2018-12-18)
      In places associated with the entertainment industry in which music is performed or played, sounds with high sound pressure levels may occur. Such exposure is a threat to both people spending their free time at concerts, in discos or pubs, as well as employees in these places. The aim of the research conducted in 2017 was to assess on-the-job noise exposure in the case of bartenders at various premises of the entertainment industry. The measurements included 15 entertainment venues in Łódź, out of which 3 were selected: a music club, disco and pub. The exposure measurements were taken together for 4 work stations for bartenders using individual dosimetry in accordance with the PN-EN ISO 9612: 2011 standard. A total of 64 measurements were carried out, which showed that the equivalent sound levels A at the bartenders' workplaces vary considerably depending on the type of premises and the day of the week and the range of 67.6-108.7 dB. The highest sound levels occurred during the weekend (Fridays and Saturdays). The determined daily noise exposure levels exceeded the threshold of preventive action (80 dB) in 95% of the analyzed cases. Exceeding the maximum permissible noise level (NDN = 85 dB) was found in 66% of cases. It has been found that on-the-job noise levels in the case of bartenders significantly exceed the acceptable values of exposure levels and pose a risk of hearing damage. Med Pr 2018;69(6):633-641.
    • Endometriosis - The challenge for occupational life of diagnosed women: A review of quantitative studies.

      Andysz, Aleksandra; Jacukowicz, Aleksandra; Merecz-Kot, Dorota; Najder, Anna; Nofer Institute of Occupational Medicine (2018-12-18)
      The aim of the article was to summarize the results offered in the research on occupational functioning of women with endometriosis. We followed PRISMA guidelines. Database search was done in November 2017 using EBSCO. In the review were included the articles clearly referring to the relationships between endometriosis and work or any aspect of work (e.g., work productivity, work ability, absenteeism). Eight papers were included in the final review. Seven studies were cross-sectional, 1 retrospective. The majority of researchers used standardized research measures, such as <i>Work Ability Index</i>, <i>Work Productivity and Activity Impairment Questionnaire</i> or <i>Health Related Productivity Questionnaire</i>. Only in 2 studies the reference group was considered, one of them consisted of healthy women. The results clearly indicate that endometriosis is a disease that causes major disturbance in occupational functioning of the suffering women. In the future the researchers should search for individual and organizational correlates of the improvement of occupational functioning in this group of patients. The methodology of the existing studies has been evaluated and the methodological cues for future research has been given. Med Pr 2018;69(6):663-671. The aim of the article was to summarize the results offered in the research on occupational functioning of women with endometriosis. We followed PRISMA guidelines. Database search was done in November 2017 using EBSCO. In the review were included the articles clearly referring to the relationships between endometriosis and work or any aspect of work (e.g., work productivity, work ability, absenteeism). Eight papers were included in the final review. Seven studies were cross-sectional, 1 retrospective. The majority of researchers used standardized research measures, such as <i>Work Ability Index</i>, <i>Work Productivity and Activity Impairment Questionnaire</i> or <i>Health Related Productivity Questionnaire</i>. Only in 2 studies the reference group was considered, one of them consisted of healthy women. The results clearly indicate that endometriosis is a disease that causes major disturbance in occupational functioning of the suffering women. In the future the researchers should search for individual and organizational correlates of the improvement of occupational functioning in this group of patients. The methodology of the existing studies has been evaluated and the methodological cues for future research has been given. Med Pr 2018;69(6):663–671.
    • Health promotion for the aging workforce in Poland.

      Magnavita, Nicola; Sakowski, Piotr; Capitanelli, Ilaria; La Milia, Daniele Ignazio; Moscato, Umberto; Poscia, Andrea; Ricciardi, Walter; Nofer Institute of Occupational Medicine (2018-12-20)
      The aging of the workforce is an issue that calls for concrete measures to promote the health of older workers. This study reports on the results of the European "ProHealth65+" research project interventions conducted in Poland in relation to workplace health promotion for older workers (WHPOW) and the institutions involved in these programs. A three-stage search of peer-reviewed and grey literature on the WHPOW in Poland. A total of 59 WHPOW programs were retrieved in Poland in the observation period (2000-2015). Most of these aimed at improving the Qualification and Training or at the Work Climate and attitudes toward older workers. The promotion, organization, and funding of these activities were carried out mainly by supra-national and governmental bodies, enterprises and employers, and educational and trainee institutions. Although there is great commitment to the medical surveillance of workers on the part of the Polish occupational health service, our search detected a relatively low number of the WHPOW initiatives. Greater efforts should be made to introduce strategies for addressing aging of the workforce. Int J Occup Med Environ Health 2018;31(6):753-761.
    • EURADOS 2016 INTERCOMPARISON EXERCISE OF EYE LENS DOSEMETERS.

      Clairand, I; Behrens, R; Brodecki, M; Carinou, E; Domienik-Andrzejewska, J; Ginjaume, M; Hupe, O; Roig, M; Nofer Institute of Occupational Medicine (2018-12-01)
      In the context of a new annual eye lens dose limit for occupational exposure equal to 20 mSv, European Radiation Dosimetry Group (EURADOS) organized an intercomparison dedicated to eye lens dosemeters, including photon and beta radiations. The objective was to complete the first intercomparison recently organized by EURADOS for photons and to update the overview of eye lens dosemeters available in Europe. The dosemeters provided by the 22 participants coming from 12 countries were all composed of thermoluminescent detectors. The dosemeters were irradiated with photon and beta fields defined in relevant standards. The results, provided by participants in terms of Hp(3), were compared to the reference delivered doses. Results are globally satisfactory for photons since 90% of the data are in accordance to the ISO 14146 standard requirements. The respective values for betas stress the fact that dosemeters designed for Hp(0.07) are not suitable to monitor the eye lens dose in case of betas.
    • [Occupational diseases in Poland in 2016].

      Świątkowska, Beata; Hanke, Wojciech; Nofer Institute of Occupational Medicine (2018-12-18)
      The aim of the work is to present the epidemiological situation in the field of occupational diseases in Poland in 2016. The cases of occupational diseases identified in accordance with the applicable case law system in Poland and reported to the Central Register of Occupational Diseases in 2016 were analyzed. The analysis includes nosologic units, their causative factors as well as gender and age of patients. Absolute numbers and incidence rates per 100 000 employees were presented. In 2016, 2119 cases of occupational diseases were recorded in Poland, i.e. 14.3 cases per 100 000 employed persons. The incidence rate was mainly caused by pneumoconioses (28.5%), infectious or parasitic diseases (27.2%), chronic voice disorders (9.7%), chronic diseases of the peripheral nervous system (8.6%) and hearing loss (6.3%). The highest incidence was recorded in the mining and quarrying (329.7 cases), agriculture and forestry (23.8 cases), manufacturing (20 cases) and education (17.9 cases) and healthcare and social work activities (17.7 cases). In comparison with 2015, there was an increase in the number of cases of occupational diseases by 1.2%, which was influenced mainly by a larger (by 181 cases) number of pneumoconiosis. The epidemiological situation resulting from occupational diseases in our country, although it covers all identified cases, should be assessed with caution because the suspicion arises underestimation of certain diseases, especially cancer. Med Pr 2018;69(6):643-650.
    • Air pollution from natural and anthropic sources and male fertility.

      Jurewicz, Joanna; Dziewirska, Emila; Radwan, Michał; Hanke, Wojciech; Nofer Institute of Occupational Medicine (2018-12-23)
      Exposure to air pollution has been clearly associated with a range of adverse health effects, including reproductive toxicity. However, a limited amount of research has been conducted to examine the association between air pollution and male reproductive outcomes, specially semen quality. We performed a systematic review (up to March 2017) to assess the impact of environmental and occupational exposure to air pollution on semen quality. Epidemiological studies focusing on air pollution exposures and male reproduction were identified by a search of the PUBMED, MEDLINE, EBSCO and TOXNET literature bases. Twenty-two studies were included which assess the impact of air pollutants (PM
    • [The right of a doctor to inform an employer of contraindications to perform a certain type of work by an employee].

      Zajdel-Całkowska, Justyna; Winnicka, Renata; Krakowiak, Anna; Jabłońska, Marta Regina; Zajdel, Radosław; Nofer Institute of Occupational Medicine (2018-12-18)
      The aim of this study is to analyze the legal regulations that pertain to the duty of doctor-patient privilege and the possibility of its repeal on the plane to provide information about the patient's health status to his employer. The material constitutes the current Polish law regulations relating to the medical duty of doctor-patient privilege as well as provisions defining the scope of information on the patient's health status that may be transferred to a patient's employer. The doctor has no right to provide the employer with information on contraindications to perform a specific job, if the information was obtained in the mode of providing health services that are not eligible for the catalogue of preliminary/preventive/control examinations. The basis for the doctor providing information to the employer cannot be an exception to the obligation of medical confidentiality, which is governed by art. 40 § 2 pts 1-6 of the Act of Medical Profession, under which cases of admission of professional secrecy were listed, which makes it impossible to use the cited article in cases other than strictly specified in its content. Polish law specifies the circumstances in which it is possible to provide an employer with the medical information on the patient's health. However, there are regulations that provide for the information on contraindications to perform a certain type of work or job to be transmitted if the information has been obtained in a manner other than as provided in the ordinance on medical examinations of employees. Med Pr 2018;69(6):613-620.
    • The distribution and excretion of 1-Methylnaphthalene in rats exposed to 1-Methylnaphthalene by inhalation.

      Świercz, Radosław; Wąsowicz, Wojciech; Nofer Institute of Occupational Medicine (2018-12-20)
      1-Methylnaphthalene (1-MN) is a constituent of polycyclic aromatic hydrocarbons, the chemicals that have become ubiquitous in the environment as result of natural and industrial process. This paper reports a study on the distribution and excretion of 1-MN in rats after single and repeated inhalation exposure to 1-MN vapor. Male Wistar rats were exposed to 1-MN vapor at nominal concentrations of 50 mg/m3 or 200 mg/m3 in the dynamic inhalation chambers (TSE Systems Head Nose Only Exposure) for 6 h (single exposure) or 5 days (6 h/day, repeated exposure). Blood, urine and tissue samples were collected during and after the exposure. Blood, urine and tissue concentrations of 1-MN were estimated by gas chromatography using the headspace technique. The elimination of 1-MN from blood followed an open 2-compartment model. The concentration in rat tissues was dependent on the magnitude and time of exposure. After repeated exposure, the concentration 1-MN in tissue decreased in comparison to single exposure. The elimination of 1-MN with urine after single and repeated exposure to 1-MN occurred mainly in the samples collected during the first day of collection. 1-Methylnaphthalene was rapidly eliminated from the blood and tissues of animals exposed by inhalation to 1-MN. In repeated exposure, there was probably a significant increase of 1-MN metabolism in rats exposed to low and high 1-MN doses. Under conditions of repeated 1-MN exposure, no significant systemic 1-MN accumulation could be observed. Int J Occup Med Environ Health 2018;31(6):763-770.
    • Zarządzanie zdrowiem personelu w kontekście starzenia się społeczeństwa.

      Goszczyńska, Eliza; Korzeniowska, Elżbieta; Puchalski, Krzysztof; Nofer Institute of Occupational Medicine (Instytut Medycyny Pracy. Krajowe Centrum Promocji Zdrowia w Miejscu Pracy, 2018)
      Według GUS (2014) w latach 2013-2050 liczebność populacji w wieku produkcyjnym zmniejszy się o 7,8 mln osób. Ponadto w jej ramach zwiększy się udział osób w wieku 45-60/65 lat. Kurczenie się i starzenie się zasobów pracy będzie stanowiło problem dla zakładów pracy. Jedną z ważnych strategii radzenia sobie z nim przez pracodawców są działania nakierowane na zdrowie–istotną determinantę jak najdłuższego zachowywania zdolności do pracy przez personel. Sprawdzoną metodą realizacji takich przedsięwzięć jest promocja zdrowia/zarządzanie zdrowiem personelu. Jak dowodzi reprezentatywne badanie Krajowego Centrum Promocji Zdrowia w Miejscu Pracy Instytutu Medycyny Pracy im. J. Nofera w Łodzi z 2017 r., co około trzecia średnia i duża firma w Polsce z większa zaangażowanie w sprawy zdrowia załogi w skali kilku ostatnich lat, przy czym blisko połowa pracodawców deklaruje, że powodem tego jest ograniczanie skutków starzenia się załogi. W rzeczywistości jednak zakłady pracy nie przygotowują się do sprostania wyzwaniom wynikającym z problemu starzenia się, a nie reagują w dostatecznym stopniu na jego pierwsze symptomy. Okazuje się, że 7% firm nawet nie zna przybliżonego udziału osób 55+ wśród ogółu pracowników (tj. czy stanowią mniej niż ćwierć, od jednej czwartej do połowy, a może większość załogi). W ciągu 2 lat przed badaniem w blisko ¾ zakładów na spotkaniach kadry zarządzającej w ogóle nie poruszano problemu aktualnych zmian demograficznych. Tylko co około szósta organizacja analizuje dane o sytuacji zdrowotnej swoich pracowników lub zbiera informacje na temat subiektywnych potrzeb zdrowotnych pod kątem różnic między młodszą i starszą generacją personelu. Takie podejście obniża efektywność promocji zdrowia /zarządzania zdrowiem w podtrzymywaniu zdolności do pracy. Uwzględnienie potrzeb różnych generacji personelu w ponad obligatoryjnych działaniach prozdrowotnych firm jest zatem istotnym wyzwaniem dla pracodawców w Polsce.
    • Czynniki sukcesu promocji zdrowia w pracy.

      Instytut Medycyny Pracy. Krajowe Centrum Promocji Zdrowia w Miejscu Pracy; Nofer Institute of Occupational Medicine (2018)
    • Promocja zdrowia a przewaga konkurencyjna.

      Instytut Medycyny Pracy. Krajowe Centrum Promocji Zdrowia w Miejscu Pracy; Nofer Institute of Occupational Medicine (2018)
    • Co to jest promocja zdrowia w pracy?

      Instytut Medycyny Pracy. Krajowe Centrum Promocji Zdrowia w Miejscu Pracy; Nofer Institute of Occupational Medicine (2018)
    • Korzyści z promocji zdrowia w pracy.

      Instytut Medycyny Pracy. Krajowe Centrum Promocji Zdrowia w Miejscu Pracy; Nofer Institute of Occupational Medicine (2018)
    • Podstawowe błędy w realizacji promocji zdrowia w firmie.

      Instytut Medycyny Pracy. Krajowe Centrum Promocji Zdrowia w Miejscu Pracy; Nofer Institute of Occupational Medicine
    • The Underground Tourist Route Kowary Drifts

      Olszewski, Jerzy; Nofer Institute of Occupational Medicine
      In recent decades, we have seen a rapid increase in the number of underground tourist routes. One of them, the underground tourist route “Kowary Drifts” placed in the tunnel No. 9 in the former uranium mine “Liczyrzepa”, was launched in 2002. Thanks to the high awareness of the owners, since the very beginning the route has been fully controlled, including control of exposure to radon. For the measurement of radon concentration trace detectors and scintillation chambers were used. Long-term studies have shown that the average concentration in this tourist route is 500 Bqm-3. Staff of the underground tourist route, and inhalation should be counted in the category of B radiation exposure
    • Wrist dosimeter in nuclear medicine - An alternative for the ring dosimeter?

      Wrzesień, Małgorzata; Olszewski, Jerzy; Nofer Institute of Occupational Medicine (2018-10-01)
      Individual dosimetry is undoubtedly one of the best methods of assessing the exposure of personnel to ionizing radiation, however in case of nuclear medicine, the method applied to measure the dose does not always present a picture of the worker's actual exposure. The highly non-homogeneous dose distribution on the hand means that the ring dosimeter, routinely used to measure the Hp(0.07), provides only approximate dose values received by fingertips, the body part most exposed to ionizing radiation. This paper is an attempt to answer the question whether the wrist dosimeter used as a replacement for the ring dosimeter is able to provide information on doses for the most exposed fragments of the hand of an employee during handling procedures with the use of radiopharmaceuticals. Throughout measurements performed in five nuclear medicine facilities, high-sensitivity thermoluminescent detectors were used. Correction coefficients have been determined, which constitute an amendment to be made to move from the dose recorded by the wrist dosimeter to the doses received by the most exposed hand fragments. The fingertips received on average 25 times higher doses, compared to the values recorded by the wrist dosimeter. A wrist dosimeter can be used to measure the Hp(0.07) in nuclear medicine, including as a gauge of the most exposed parts of the hand - the fingertips. However, the applicability of correction coefficients makes it necessary to ensure a stable position of the wrist dosimeter during routine procedures.
    • Establishing the European diagnostic reference levels for interventional cardiology.

      Siiskonen, T; Ciraj-Bjelac, O; Dabin, J; Diklic, A; Domienik-Andrzejewska, J; Farah, J; Fernandez, J M; Gallagher, A; Hourdakis, C J; Jurkovic, S; Järvinen, H; Järvinen, J; Knežević, Ž; Koukorava, C; Maccia, C; Majer, M; Malchair, F; Riccardi, L; Rizk, C; Sanchez, R; Sandborg, M; Merce, M Sans; Segota, D; Sierpowska, J; Simantirakis, G; Sukupova, L; Thrapsanioti, Z; Vano, E; Nofer Institute of Occupational Medicine (2018-10-01)
      Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm
    • Gestational weight gain charts for different body mass index groups for women in Europe, North America, and Oceania.

      Santos, Susana; Eekhout, Iris; Voerman, Ellis; Gaillard, Romy; Barros, Henrique; Charles, Marie-Aline; Chatzi, Leda; Chevrier, Cécile; Chrousos, George P; Corpeleijn, Eva; Costet, Nathalie; Crozier, Sarah; Doyon, Myriam; Eggesbø, Merete; Fantini, Maria Pia; Farchi, Sara; Forastiere, Francesco; Gagliardi, Luigi; Georgiu, Vagelis; Godfrey, Keith M; Gori, Davide; Grote, Veit; Hanke, Wojciech; Hertz-Picciotto, Irva; Heude, Barbara; Hivert, Marie-France; Hryhorczuk, Daniel; Huang, Rae-Chi; Inskip, Hazel; Jusko, Todd A; Karvonen, Anne M; Koletzko, Berthold; Küpers, Leanne K; Lagström, Hanna; Lawlor, Debbie A; Lehmann, Irina; Lopez-Espinosa, Maria-Jose; Magnus, Per; Majewska, Renata; Mäkelä, Johanna; Manios, Yannis; McDonald, Sheila W; Mommers, Monique; Morgen, Camilla S; Moschonis, George; Murínová, Ľubica; Newnham, John; Nohr, Ellen A; Andersen, Anne-Marie Nybo; Oken, Emily; Oostvogels, Adriëtte J J M; Pac, Agnieszka; Papadopoulou, Eleni; Pekkanen, Juha; Pizzi, Costanza; Polanska, Kinga; Porta, Daniela; Richiardi, Lorenzo; Rifas-Shiman, Sheryl L; Roeleveld, Nel; Santa-Marina, Loreto; Santos, Ana C; Smit, Henriette A; Sørensen, Thorkild I A; Standl, Marie; Stanislawski, Maggie; Stoltenberg, Camilla; Thiering, Elisabeth; Thijs, Carel; Torrent, Maties; Tough, Suzanne C; Trnovec, Tomas; van Gelder, Marleen M H J; van Rossem, Lenie; von Berg, Andrea; Vrijheid, Martine; Vrijkotte, Tanja G M; Zvinchuk, Oleksandr; van Buuren, Stef; Jaddoe, Vincent W V; Nofer Institute of Occupational Medicine (2018-11-05)
      Gestational weight gain differs according to pre-pregnancy body mass index and is related to the risks of adverse maternal and child health outcomes. Gestational weight gain charts for women in different pre-pregnancy body mass index groups enable identification of women and offspring at risk for adverse health outcomes. We aimed to construct gestational weight gain reference charts for underweight, normal weight, overweight, and grades 1, 2 and 3 obese women and to compare these charts with those obtained in women with uncomplicated term pregnancies. We used individual participant data from 218,216 pregnant women participating in 33 cohorts from Europe, North America, and Oceania. Of these women, 9065 (4.2%), 148,697 (68.1%), 42,678 (19.6%), 13,084 (6.0%), 3597 (1.6%), and 1095 (0.5%) were underweight, normal weight, overweight, and grades 1, 2, and 3 obese women, respectively. A total of 138, 517 women from 26 cohorts had pregnancies with no hypertensive or diabetic disorders and with term deliveries of appropriate for gestational age at birth infants. Gestational weight gain charts for underweight, normal weight, overweight, and grade 1, 2, and 3 obese women were derived by the Box-Cox t method using the generalized additive model for location, scale, and shape. We observed that gestational weight gain strongly differed per maternal pre-pregnancy body mass index group. The median (interquartile range) gestational weight gain at 40 weeks was 14.2 kg (11.4-17.4) for underweight women, 14.5 kg (11.5-17.7) for normal weight women, 13.9 kg (10.1-17.9) for overweight women, and 11.2 kg (7.0-15.7), 8.7 kg (4.3-13.4) and 6.3 kg (1.9-11.1) for grades 1, 2, and 3 obese women, respectively. The rate of weight gain was lower in the first half than in the second half of pregnancy. No differences in the patterns of weight gain were observed between cohorts or countries. Similar weight gain patterns were observed in mothers without pregnancy complications. Gestational weight gain patterns are strongly related to pre-pregnancy body mass index. The derived charts can be used to assess gestational weight gain in etiological research and as a monitoring tool for weight gain during pregnancy in clinical practice.
    • [Psychological examinations in occupational health services: Legal regulations. Part I].

      Waszkowska, Małgorzata; Wężyk, Agata; Nofer Institute of Occupational Medicine (2018-10-30)
      In Poland psychological assessment for the purpose of fitness-to-work certification is regulated by the law. In the majority of cases, only psychologists registered with the occupational health services are authorized to conduct the assessment procedures. In this study 32 legal documents (17 acts and 15 directives) have been analyzed to identify the most problematic issues pertaining to psychological examination and to suggest certain changes in the regulations, as well as to raise the psychologists' awareness of the legal aspects of their work. Due to the number of the topics explored, the results of the study will be published as two separate, yet related articles. The first one concentrates on the qualifications of psychologists, the examination reference process, the aim and scope of the psychological assessment, and the validity of the assessment results. In part II other issues, not directly related to the diagnostic process, will be discussed. Med Pr 2018;69(5):561-572. Zagadnienia związane z badaniami psychologicznymi w orzecznictwie o zdolności do pracy są regulowane przepisami prawa. W wielu przypadkach badania te mogą być wykonywane wyłącznie przez psychologów służby medycyny pracy. Dokonano analizy 32 aktów prawnych (17 ustaw i 15 rozporządzeń). Jej celem było m.in. wskazanie problematycznych kwestii związanych z badaniami i sformułowanie propozycji zmian przepisów oraz przybliżenie psychologom prawnych aspektów ich pracy. Ze względu na obszerność materiału (19 ustaw i 13 rozporządzeń) zostanie on opublikowany w dwóch częściach. Niniejsza część I dotyczy kwalifikacji psychologów, kierowania na badania, celu i zakresu badań oraz terminów ich przeprowadzania. W części II omówione zostaną zagadnienia niezwiązane bezpośrednio z diagnostyką. Med. Pr. 2018;69(5):561–572.