Cabinet of Ministers Regulations No. 295 in Riga in 2008 (April 21. No 25) 33 amendments to the Cabinet of Ministers of 14 March 2006, regulations No. 195 "athletes and children with increased physical load of the health care and medical supervision order Issued in accordance with article 6 of the law of Sport's fifth draw of the Cabinet of Ministers of 14 March 2006, regulations No. 195" athletes and children with increased physical load of the health and medical surveillance procedures "(Latvian journal, 2006, 45 no) the following amendments : 1. Make the introductory paragraph 4 by the following: "4. the in-depth preventive medical check-ups once a year take a sports doctor. Sports doctor: ". 2. Replace the introductory paragraph of point 4.1 of the word "apparatus" with the word "system". 3. Express and 4.1.6 section 4.1.5., the following wording: "4.1.5. physical and functional ability assessment method by EUROFI-children with increased physical load, as well as athletes who are under the age of 18 years (minors and athletes); 4.1.6. other parties treatment; ". 4. Make the introductory part of point 4.2 as follows: ' 4.2. send athletes or children with increased physical load to a family doctor or to the following sports medicine State Agency (hereinafter the Agency) for the treatment of personal advice: ". 5. Replace paragraph 4.2.7.4.2.3 and the word "machine" with the word "system". 6. Add to paragraph 4.5, after the word "athletes" with the words "minor athletes". 7. Replace the words "in paragraph 4.6 sports doctor who" with the words "sports education, sports club or Sports Federation for medical workers in person". 8. Make paragraph 5 by the following: "5. to assess the health of the body, the physical and functional State, sports training (sessions) period: 5.1 additional preventive medical tests for athletes and children with increased physical load after acute illnesses or injuries, chronic disease flare, or at least six months for sports training (sessions) break: 5.1.1 sports physician or family doctor, according to competency: 5.1.1.1. cardiovascular system , the respiratory system and nervous system assessment tests; 5.1.1.2. If needed, send the athletes or children with increased physical load on the competent medical person; 5.1.1.3. provides adults with underage athletes, athletes and children with increased physical load of parents (guardians) opinions on the results and recommendations of medical preventive measures; 5.1.1.4. provide medical treatment to a person in care or children with elevated athletes exercise, this provision of the opinion referred to in paragraph 5.1.1.3.; 5.1.1.5. inform the sports professionals on preventive medical inspection results; 5.1.2. the sports doctor provides adult athletes, underage athletes and children with increased physical load of parents (guardians), as well as a sports specialist opinion on the optimum exercise; 5.2. stage preventive medical tests athletes before sports matches: 5.2.1 sports physician or family doctor, according to the competences: 5.2.1.1. the cardiovascular system, the respiratory system and nervous system assessment tests; 5.2.1.2. If necessary, sends athletes to the competent medical person; 5.2.1.3. provides adults and underage athletes athletes parents (guardians) opinions on the results and recommendations of medical preventive measures; 5.2.1.4. inform the sports professionals on preventive medical inspection results; 5.2.2. the sports doctor provides adult athletes, athletes of minor parents (guardians) and sports expert opinions about the optimal exercise; 5.3. do regular preventive medical tests athletes in sports training (sessions). According to the plan, which is aligned with sport educational institutions, sports club or Sports Federation leaders, sports doctor: 5.3.1. the cardiovascular system, the respiratory system and nervous system assessment tests; 5.3.2. If necessary, sends athletes to the competent agency of the person or of treatment at the family doctor; 5.3.3. determine the sports training (practice) related diseases, traumas and pathological changes of the organism causes; 5.3.4. provides adults and juvenile athlete athletes parents (guardians) opinions on current preventive medical tests results and recommendations on preventive and curative measures for optimal physical load; 5.3.5. inform the sports professionals on preventive medical examination results and optimal exercise; 5.4. the medical pedagogical observations and assess the individual sports training (sessions) impact on athletes or children with increased physical load (including the health divide in the Group III child) organism. According to the plan, which is aligned with sport educational institutions, sports club or Sports Federation leaders, sports doctor: 5.4.1. assess sports training (practice) conditions and organisation; 5.4.2. assess sports training (sessions) on the health effects of the load and the functional State of the organism; 5.4.3. assess sports training (lessons) efficiency, physical fitness for physical development, the body's functional position, functional reserve in the body after sports training (lessons); 5.4.4. provide sports specialist opinion on the medical pedagogical observation results, sports training (lesson) means of compliance with the physical training and the planned target, as well as provide recommendations for optimal physical load; 5.5. the sports physician or family doctor, according to competence to make physical activity and sports-related diseases and injuries-diagnosis, treatment and rehabilitation, if necessary, by involving other treatments. " 9. To supplement the provisions under point 5.1 by the following: "5.1 sports education, sports club or Sports Federation certified medical professionals (such as nurses, physician assistants, physiotherapists) continuing education courses which acquired the knowledge of sports medicine and physical health of the population, according to the competence of the athletes and children with increased physical load: 5.1 1. plan and in cooperation with the sports professionals organizes preventive medical examination (Advanced, additional , stage, current); 5.12. antropometrij measurements; 5.13. organizes and performs the manipulation of a doctor; 5.14. ensure hygiene and controls; 5.15. sports injuries causes and control measures of prevention; 5.16. do athletes, children with increased physical load and underage athletes, their parents, as well as sports the education of health professionals in the promotion, conservation, disease prevention and anti-doping; 5.17 ensure cooperation and the circulation of information between the persons and medical treatment institutions that involved athletes and children with increased physical load of health care; 5.18. provides the first medical assistance; 5.19. participating in sports competitions for medical care; 5.110. document, summarizes and analyzes the work of athletes and children with increased physical load of the health and medical surveillance laws. " 10. Express 6.1.2. subparagraph by the following: "6.1.2. the neurologist's opinion, if the athlete or a kid wants to go in boxing, kickboxing, karate, taekvond, judo, Sambo, wrestling, motor sport, parachute jumping, mountaineering, rock climbing, bobsleigh, Luge, skeleton sports, Alpine skiing, snowboarding, fries Stiles, skateboard, water sports-swimming, underwater sports, academic rowing, canoe rowing, kayaking, boating, sailing, water skiing slalom, Motorsport, marine water all-round competition;". 11. Make point 7 by the following: "7. Adult athletes ' health care and medical supervision is financed from the athletes and third party funds." 12. Express 8 and paragraph 9 by the following: ' 8. Sports education, sports club or Sports Federation in working in the medical treatment person made records of the health care measures taken athletes and children with increased physical load, athlete or children with increased physical load in medical card (annex 2). Medical card stored in the healing, sports education, sports club or Sports Federation for 10 years after the last entry. 9. Sports education, sports club or Sports Federation in working in the medical person for sports training (sessions) and sports competitions during the period of health care records do sports training (sessions) and sports medical care log (annex 3) (journal kept in the sports education, sports club or Federation of sport for two years after the last recording) and sports training (lessons) and sports competitions provide medical help log in (annex 4) (journal kept in the sports education a sports club or a Sports Federation for 10 years after the last entry pursuit). " 13. Add to paragraph 10 the second sentence after the words "registered letter" with the words "or electronic document, prepared in accordance with the legislation on electronic document design." 14. Add to paragraph 10 with the third sentence by the following: "the report of the Agency for 10 years." 15. Express 2. Chapters II and III of the annex the following: 16. Express 2. Chapter VI of the annex by the following: 17. Express 3. attachment the following: "3. the Cabinet of Ministers of 14 March 2006, regulations No 195 18. Replace paragraph 13 of annex 5, the words" signature and transcript "with words and symbols" signature and transcript * ". 19. Replace paragraph 14 of annex 5, the words "a filing date" with words and symbols "fill dates". 20. To supplement annex 5 with the note as follows: "the document properties in the" signature "and" date "does not fill in, if an electronic document is drawn up according to the law on electronic document design." 21. Annex 6 to express the following: "6. the annex to Cabinet of Ministers of 14 March 2006, regulations No 195 Prime Minister i. Godmanis Health Minister Morris I.