Working capacity. causes and types of its decline

Attention! How to increase efficiency - Laziness goes away forever

5 Reasons for Decreased Performance

- 5 reasons for a decrease in performance
- 7 ways to increase your productivity
- 7 tips to increase stamina
— Products that increase the ability to work and mental activity
- How to increase functionality: step-by-step instruction
- Conclusion

First of all, the reasons are chronic diseases, which are based on the defeat of the central nervous system. There are symptoms such as drowsiness, laziness, clumsiness, absent-mindedness. At the same time, it seems that everything is literally falling out of hand.

At the same time, chronic fatigue begins to develop slowly. This negatively affects performance.

The second reason for the decline in performance is stressful conditions, depression and other phenomena that suppress the work of the central nervous system. In addition to oppression, overexcitation also affects performance, for example, powerful emotions. This may include taking certain medications, as well as overuse coffee or tea.

third, no less common cause- overwork. Most often, factors such as processing, lack of sleep and wrong mode day. And the lack of vacation and the need to work even on weekends only exacerbate the process. Therefore, it is important to identify and eliminate all these factors in a timely manner. Otherwise, overwork can later turn into a syndrome chronic fatigue.

Fifth - psychological factor. It happens that work is very annoying, while a person does not receive satisfaction from his activity, and also does not receive financial satisfaction from it. In this case, the work is done somehow, which greatly affects the performance.

The fifth common reason is the wrong work schedule. This should also include incorrectly prioritized when choosing primary and secondary tasks.

7 ways to increase your productivity

Today, the “do less” trend has become quite popular. As the name implies, this area covers techniques with which you can achieve great results with less effort.

Let's take a look at some of these techniques that will boost you many times over.. Hope they help you achieve the best results in the shortest amount of time.

1. Pareto's law, or the 20/80 principle.
IN general view This principle is formulated as follows: 20% of efforts give 80% of the result, and the remaining 80% of efforts - only 20% of the result. The 20/80 law applies to almost every area of ​​life.

If you know how to use the Pareto law properly, it will help you not only professionally, but also in Everyday life. This is a handy little trick that can help predict the outcome.

According to the Pareto law, everything should be done important tasks when your productivity is low. It is important to prioritize work tasks. Try to complete important tasks at precisely the time of the day when your performance will be at its best. high level.

2. Three important tasks.
Many people make a to-do list to keep their workflow organized.

Spend five minutes each morning writing down the three most important tasks for the day. And then focus all your efforts on completing this short list.

Focus on these three main tasks, and if you manage to complete them ahead of schedule then you can do something else.

3. Philosophy "Do less".
The “Do Less” philosophy is very popular in modern realities. Various authors offer different approaches. For example, Mark Lesser recommends taking a few minutes during your work day to meditate. This evens out your breathing, you will come to your senses, get rid of stress and be able to better concentrate on the task at hand.

Don't forget to prioritize. Do important tasks first, then move on to low-priority ones. Don't overload yourself big amount tasks: it is better to do less, but with high quality and with pleasure, than more, but without enthusiasm.

4. Tomato technique.
The tomato technique was proposed by Francesco Cirillo. The technique is called the tomato technique due to the fact that its author originally used a kitchen timer in the form of a tomato to measure time.

The methodology is based on the principle of working for 25 minutes on a specific task without a break, but after that be sure to take a break.

Look at your to-do list and pick the highest priority items from it.

Then set a timer for 25 minutes and start working without distraction until you hear the timer beep. Each 25-minute time period is called a "pomodoro".

After that, take a five-minute break and turn on the timer again.
After four Pomodoros (that is, every two hours), do more long break in 15–20 minutes.

If your task takes up more than five Pomodoros, it can be divided into several parts.

This technique helps you work on higher priority tasks, improves attention and helps you concentrate better.

5. The myth of multitasking.
Multitasking doesn't make us more productive at all, it's a myth. In fact, when we focus on many tasks at the same time, it has Negative influence on our productivity and concentration.

No matter how well you get used to multitasking, your productivity will be much less than if you decide to focus from start to finish on a single task.

If you want to be more productive at your tasks, it's better to focus on one task, complete it from start to finish, and only then move on to others.

6. Information diet.
Overloading your brain with information these days is as easy as getting a heat stroke in the Sahara Desert. And even the symptoms are similar: sleep disturbance, distracted attention and slow response. Our brains are overloaded with information noise. IN modern world people are constantly looking for news, although they are already everywhere around us.

Try to get as little as possible information that is completely unnecessary for you for at least a week and see how this affects your productivity.

7. Live on a schedule.
Remember that there is time to rest and there is time to work. Draw clear boundaries between the one and the other. Start by stopping doing things as soon as you feel like you need to rest.

Parkinson's Law states that "work fills the time allotted for it." This means that if you, for example, decide that you will write a report in a week, you will write it all week. But if you wrap each task in rigid framework, this will allow you to deal with cases much more efficiently. When you have deadlines, you try to do everything on time, so this is a great motivation.

Following these tips, you will forever forget about.

Tip #1: Always make a plan for the day.
Planning is very useful thing, even we are talking just another day at the office. Get into the habit of making a plan every morning, writing down in your diary all the necessary things that you need to finish today. Rest assured, every glance at this list will enhance your performance.

Tip #2: Fulfill challenging tasks first.
After all, if you have a difficult task ahead of you that you must complete, sooner or later you will still have to tackle it. So why not do it right now?

Tip #3: Always adequately assess your own strengths.
Don't promise what you can't deliver. Do your job to the best of your experience.

Tip #4: Praise yourself for all the victories.
Promise yourself a little surprise for a job well done, and you'll see that doing it will become much easier and more enjoyable. The main thing is that the “prize” should be really desirable and motivate.

Tip #5: Get off social media.
Delete the social network bookmarks on your work computer and you will see that the day is much longer than you thought it was yesterday. Refusing to view VKontakte, Facebook and Twitter in work time, you will free up a huge amount of time that will help you do your work much better and faster.

Tip #6: Don't forget to rest.
From time to time, your body just needs a break in order to properly perform all the tasks. Give yourself a little break every time you reach another mini-goal.

Tip #7: Love your work.
It's no secret: we do best what we like. Try to treat your work with love, and very soon you will really start to like it.

Products that increase work capacity and mental activity

In order to maintain clarity of thought, the brain needs protein, so it is necessary to include in the diet protein food plant and animal origin.

It is known that the brain needs sugar to work, and many people eat sweets. In sedentary work, this Right way To overweight: after all, sugar is quickly absorbed and burned. It is better to eat foods that contain natural sugars and starch: black bread, potatoes, rice, legumes, nuts, etc. Such food will be digested more slowly, and the brain will have enough food for several hours.

If the brain lacks biologically active substances- it is useless to train memory and perform various exercises. Cells do not have enough food - where should they get it from? Of course, only from food. Vitamins of group B and vitamin PP are very important, as well as polyunsaturated fatty acids.

Include oily fish, cereals, eggs, dairy products, yeast in your diet. Avocados, raisins, dried apricots and seeds also help relieve fatigue and cope with a long mental load. Take nuts with you to work: pistachios, almonds or walnuts.

Substances contained in squid, shrimp, crabs, fresh onion. A piece of chocolate will help you calm down and stop being nervous, but you should not get carried away with it.

Strawberries or bananas also help relieve stress and improve mood.

A simple product - carrots, combined with ginger, cumin and sour cream will help improve memory and vision: after all, it is it that suffers the most when working at a computer. Add fresh or dried blueberries to your carrot salad and your eyes will thank you.

How to increase functionality: step by step instructions

Step 1. Let's take a break before we work hard.
Without good rest there is no complete work.

Step 2. Let's get planning.
Without planning, you will never have increased efficiency. So at this stage, get yourself a diary.

So, every evening you will need to write down all the planned things for tomorrow.
This should be done in the evening, since in the morning the brain is in sleepy state and absolutely does not want to think about any business.

Step 3. Set priorities and determine your productive time.
All people are different, which means that each person has the greatest performance at different times.

Someone fruitfully works at 7 am, while someone turns on the motor only at 7 pm.

Therefore, determine the time of your greatest productivity.

Now let's move on to prioritization.

After creating a to-do list for yourself, see what tasks require you to be most productive. These things and write down on your active time. Small things can always be done in the morning. And not very important can be left for the evening.

Step 4. We concentrate on work.
During working moments, try to concentrate only on work. Disable Skype, ICQ and other programs. Set yourself a schedule!

From today, try to concentrate on work and be distracted only by vital problems.

Step 5 We switch.
Once you've mastered one thing, try to switch to something completely different.

If you practiced for 2 hours mental labor, then the next 30-60 minutes you can do sports, routine or household chores.

After brain activity The body needs rest and transition.

Only in this way can he continue further brain activity.

After reading this article and applying the tips described in it in your work, you will increase your efficiency many times over. Nice bonus this will be a lot of free time that you can spend on yourself and your family.

The material was prepared by Dilyara specifically for the site

Decreased performance- this is a discrepancy between the results of the activity and the efforts that are expended on it, and the fatigue that this activity causes.

If a person really worked hard, then a temporary decrease in efficiency is natural and is due to the need psychophysical recovery. A decrease in endurance and performance outside of stress is considered pathological; it can be determined by the action of a number of factors and internal processes:

Our clinic has specialized specialists on this disease.

(3 specialists)

2. Factors affecting the decline in performance

1. Systemic physiological factors:

• deterioration in the supply of oxygen to cells due to high viscosity blood or capillary disorders;
• active education excessive amount free radicals in the muscles; weakened immunity;
• disorders in the work of the nervous system due to psycho-emotional overload.
• acute infectious diseases chronic course;
• somatic diseases.

2. External factors that reduce performance:

• lack of sleep;
• unbalanced diet;
• insufficient intake of vitamins;
• intake of alcohol, nicotine or other toxic substances.

3. Stages of any work

Normally, the performance of any work or exercise, intellectual and mechanical labor include several stages:

• Adaptation. The beginning of any activity occurs with an effort of will, and in the first 20-30 minutes, performance increases as the body adapts to stress;
• Compensation. Long period of high performance. In process of fatigue the maximum working capacity is supported by strong-willed effort till two o'clock.
• unstable compensation. Against the background of objective signs of fatigue, working capacity then decreases, but returns to the maximum level. The duration of this period varies greatly and depends on the type of activity, the nature and intensity of the load;
• Decreased performance. Intense decline in stamina. Subjective feeling severe fatigue. Ineffectiveness of volitional support for continuing activities.

This scheme of inclusion in the work and implementation of activities can in to a large extent violated under the influence of external and internal factors. For many people, the decline in performance is regular throughout the day (in the morning, in the evening, at lunchtime). There are also seasonal fluctuations in performance.

If we consider the entire lifespan of a person as the period under study, then low working capacity in childhood and old age is natural, and the peak of working capacity falls on early and middle adulthood.

However, it has been observed that many people, even in old age in some activities, working capacity is above the average (intellectual or creative potential, long-term endurance when performing monotonous operations, the ability to concentrate).

We can talk about an abnormal decrease in working capacity in those cases when the following phenomenon repeats over a long period: the peak of activity does not provide the results that were usually observed with such loads, or their achievement requires significantly more time and effort. You should definitely pay attention to a long-term decrease in performance, because. chronic increasing fatigue is a symptom-harbinger of a number of somatic and mental illness. For example, oncological diseases like an avalanche reduce working capacity and endurance, and heavy clinical depression can manifest with complaints about the lack of strength and internal energy.

Against the background of hypodynamia and decrease physical activity modern man is subjected to colossal psycho-emotional and (especially) informational loads, for which it is not evolutionarily ready. Even in the absence of disease varied diet and the desire to maintain physical fitness - there are frequent cases of a decrease in working capacity and vitality in general. Chronic fatigue syndrome develops in a peculiar way. vicious circle”, since the objective inability to perform (at the previous level of productivity) the functions familiar to a person entails a completely natural decrease in mood, self-esteem, motivation and, as a secondary consequence, a decline in working capacity.

4. Risk factors for the development of chronic fatigue syndrome

• an exaggerated sense of responsibility that does not allow even on weekends or on vacation to “disconnect” from work;
• disturbances in the activity-relaxation cycle, prolonged labor activity without weekends and holidays;
• changes blood pressure, meteorological dependence;
• problems in personal life;
• chronic distress;
• neglect healthy regimen life; chaotic alternation of meals, sleep; the inability to devote at least some time to hobbies and hobbies, communication with loved ones;
• misunderstanding, loneliness, isolation;
• excessive immersion in virtual world, fading interest in real life against the backdrop of increasing dependence on remote communication and the media.

The reason for the persistent decline in performance can be the most different factors, but in any case, this should not be taken lightly. Whether the cause was physical illness or external environment, such changes in well-being as apathy, lack of interest in work, decreased attention, loss of interest in favorite things and activities, physical weakness and fatigue - signal the need to revise the way of life and make adjustments to the mode of work and rest, revise the system of values ​​and priorities. If such a correction does not bring results, it is necessary to apply for medical care.

Just imagine that every day you work with the maximum productivity that you can. Represented? What would be your success? On what step career ladder would you be right now? Why is the actual picture different from the one that was drawn in your imagination? And if low performance bothers you, then what are its causes and what to do? There are proven ways to improve your performance.

Ways to improve your performance

If you don't like how your work day goes, change it. Most of us show low performance for two main reasons.

1. Bad habits that get in the way proper organization your workplace and time.
2. Action "in response" and not proactive: because of this, too much time and effort is spent on work that can be dispensed with altogether.

In general, the solution looks simple: replace bad habits into correct, routine patterns into productive ones.

And now more about how to do it.

Act according to biological rhythms

There is an abyss of advice not to waste morning time to routine tasks like parsing mail, and dedicate it to the most creative part of their duties. However, they are only good for those who have peak productivity in the morning. People who reach best form in the evening, they don't fit.

Stop imitating Caesar

Doing multiple things at once is a real efficiency killer. And these are not general arguments, but the results of studies conducted at the University of London. As soon as the brain is faced with a mixture of several simultaneous tasks, its productivity drops by an average of 40%, and IQ by about 15 points.

To improve performance, move from one behavior pattern to another: focus on completing only one task. After completing it, take on the next one.

Plan for tomorrow

At the end of the day, make a to-do list for tomorrow. This simple action can significantly improve performance:

• helps to gather
• increases focus on a particular object,
• gives a feeling of satisfaction with the achieved result.

Also, if you make it a habit to make a to-do list in the evenings, you won't have to waste precious morning time on it. How many cases should be in this plan? Five? Twenty five?

Productivity requires focus, so make it a rule to limit your responsibilities. Critically reread your list and cross off certain items from it before you even begin to complete them.

Redistribute responsibilities

Of course, only if you have such an opportunity. Delegating some tasks to your subordinates or agreeing to redistribute them with less loaded colleagues is a good way to increase efficiency. Ignore distractions

For most of us, this Email And social media. Learn to ignore them while you work - or at least don't spend the most productive part of your work day on them.

Filter phone calls

This will allow you not to be distracted by conversations in the process of execution. important work. Turn off your phone before taking on a project that requires the most attention (unless you're expecting some super-important call, which is rare). You can also set up the reception of calls so that the device skips some of them and blocks others.

Take breaks

Choose a set of exercises that are convenient to perform in the workplace. Take several 10-minute breaks throughout the day. This will allow both the back and the brain to rest, therefore, it will increase productivity and will more than pay for the “lost” time.

Be an optimist

Cultivate an optimistic outlook on things! Happy people work with higher efficiency and show top scores. If by nature you are prone to pessimism, cultivate an optimistic attitude towards life. According to psychotherapists, the best tool for this is support and willingness to help others.

Stick to a healthy lifestyle

This concept includes a lot of sound sleep And good nutrition to an environmentally friendly environment. None of these components is a guarantee of high performance, but they are all important conditions productivity.

There are several probable causes decrease in human performance, and they can be divided into two groups: psychological reasons And physiological causes. Often they coexist with each other and act together, having a complex effect on human performance. However, this different reasons and should be discussed separately. Psychological reasons are those that lead to a decrease in performance due to the action of one of the following factors:

• 1) lack of proper motivation for activity, a person’s interest in the type of occupation in which efficiency decreases,
• 2) a sufficiently strong concern of a person with something that distracts him from his main work,
• 3) unfavorable emotional state of a person in this moment time, such as frustration, apathy, boredom, indifference, etc.,
• 4) disbelief in the success of the case, associated with one of the following circumstances: a person's lack of confidence in himself, lack of hope for the success of the case in these specific conditions.

Physiological are called the following reasons performance degradation:

• 5) illness,
• 6) fatigue, weakness of the nervous system, its fatigue, general physical weakness of the body.

Let's consider how to determine which of the named reasons or groups of reasons is really valid, what recommendations in each such case can be offered to the employee.

The first of these reasons - lack of motivation - can be defined as follows.

It can be identified as a result of a direct conversation with the employee and finding out if he has an interest in engaging in the relevant type of activity. If in response to a question directly asked to him, the employee quite definitely answers “no”, then this clearly indicates that the employee really does not have such an interest, with the exception, of course, of an extremely rare occurrence in practice. psychological counseling the case when the employee is simply not in the mood to tell the consultant the truth about himself.

If the employee says “yes”, this does not always mean that in reality this is the case. It may seem to the employee that he really has such an interest, although in fact he may not have it. In addition, the employee often involuntarily says “yes”, not wanting the consultation to stop if the answer is “no”.

In the latter case, there really is no point in continuing it, since the client's actual lack of interest in the case cannot be compensated for by other measures.

The lack of proper motivation for an employee's activity can also be established indirectly by asking the employee and receiving answers from him to the following questions:

• 1. What do you find interesting for yourself in the work during which you notice that your efficiency decreases?
• 2. What can and should be done to make the relevant work more attractive and interesting for you?
• 3. What will change in your life if you completely stop doing this work?
• 4. Is it possible this work for you to replace any other?

After conducting the study (appendix, table 2.), three workers answered the first question definitely and without much thought, naming a lot of things that attract him to work, we can conclude that the employee has a fairly strong motivation to engage in the corresponding type of activity. This also gives grounds for the conclusion that the reason for the decrease in the client's performance is not a lack of interest in work (deficit of motivation), but something completely different.

But the rest of the workers gave an indefinite answer to this question, accompanied, moreover, by long reflections, but in this case the hypothesis of a lack of motivation cannot be completely rejected either.

When answering the second question, the workers found it difficult to answer, in this case it can be assumed that the reason for the decrease in his performance is the lack of positive motivation for activity. If the workers would give a confident answer to this question, this hypothesis, on the contrary, is questioned.

Answering the third question, four employees basically list only the possible negative consequences of stopping work, and this gives reason to assume that his motivation to engage in this type of activity is quite strong.

But, on the part of one employee, the positive consequences of stopping this type of activity were named, and it can be assumed that the client's motivation is not strong enough, but one employee did not decide on an answer.

Finally, four employees answered “yes” to the fourth question, it can be concluded that this species activity in itself is of little interest to the client. And the rest of the employees were followed by the answer “no”, but the conclusion about the “uninteresting” activity cannot be unambiguously drawn.

Having clarified the reality of the first of the above reasons, or rather the presence of a positive motivation for activity, we can then proceed to clarify the second reason - distraction or the presence of competing motivation.

The validity of this possible cause is determined in the following way. Employees are asked if they have any other problems at this point in time, in the current period of his life, that do not allow him to fully concentrate on the business, in connection with which he complains of a decrease in efficiency. (Appendix, Table 3.). After the survey, it turns out that there are such problems, but not everyone has them; this will mean that these problems are a possible reason for the decrease in the client's performance. In the absence of other problems for workers, such an assumption is unlikely.

Adverse emotional states: frustration, apathy and others - identified as possible reason performance degradation as follows.

First of all, these emotional states can be identified simply by carefully observing the behavior of the worker during the consultation. If during the conversation the employee is constantly in a state of increased emotional arousal and psychological stress, it is quite possible to assume that he is in the same state during the work in which his performance decreases.

Such questions could be, for example, the following:

“What emotions do you usually experience during work: positive or negative?”

“Do you worry about anything when you work? If yes, what exactly?

Disbelief in one's success as a possible reason for the decline in performance or the presence of negative expectations (expectations of failure) associated with the work performed is ascertained by a number of signs. First of all, according to the employee's answers to questions like:

"Is your work going well?"

"Do you believe that you will eventually succeed?"

Self-doubt as the reason for the decline in performance can be established by the behavior of the client and by his answers to relevant questions.

If the employee behaves confidently enough, if he answers the questions asked to him with the same confidence, then this is the basis for the assumption that such confidence is also characteristic of him at work.

If the employee does not behave confidently enough and also does not quite confidently answer the questions asked of him, then we can conclude that self-doubt is probably characteristic of him at work.

However, in the latter case, the employee’s uncertainty, as a hypothesis,

requires additional verification and independent confirmation. The employee's responses to the following questions can serve as such confirmation:

"Do you always feel confident enough when you're doing work?"

“Do you believe that you can succeed in this job?”

If the client answers “yes” to these questions, then the hypothesis of uncertainty as a trait of his character should probably be rejected. If the client's answers to them are "no", then such a hypothesis will be quite probable.

In the event that the reason for the decrease in performance is purely

physiological nature, unfavorable state of the body, then the employee should still be given some recommendations psychological properties, since a certain influence on physical state a person is exerted by psychological factors.

First of all, it must be borne in mind that positive emotions increase, and negative emotions lower the working capacity of a person. Therefore, it is necessary to strive to ensure that the work evokes predominantly positive emotions in a person and, as far as possible, excludes negative emotional experiences.

It should also be remembered that the state of fatigue is easier to prevent than to eliminate if it has already arisen.

For this reason, in order to maintain performance at a sufficiently high level, it is important to take care of creating optimal mode work. This mode is to prevent the occurrence of a pronounced state physical fatigue, making frequent, small breaks for rest, designed for enough fast recovery forces.

Another important rule on this account says: people usually get more tired not from the work that they have already done, but from the work that they had to do, but for one reason or another did not have time to do it on time. Therefore, when planning your work for the day or planning to complete a certain amount of work for some time, it is necessary to include in it only what is mandatory and under all circumstances will be completed by the specified date.

Well finally!!! If she does this, then you should not be fired, but her!

Message from BASICS OF THE LEGISLATION OF THE RUSSIAN FEDERATION ON PROTECTION OF THE HEALTH OF CITIZENS

Article 31. The right of citizens to information about the state of health
<...>The information contained in medical documents citizen, constitutes a medical secret and can be provided without the consent of the citizen only on the grounds provided for in Article 61 of these Fundamentals.

Article 61. Medical secret
Information about the fact of applying for medical assistance, the state of health of a citizen, the diagnosis of his disease and other information obtained during his examination and treatment, constitute a medical secret. The citizen must be confirmed the guarantee of the confidentiality of the information transmitted by him.
It is not allowed to disclose information constituting a medical secret by persons to whom they became known during training, performance of professional, official and other duties, except for the cases established by parts three and four of this article.
With the consent of a citizen or his legal representative, it is allowed to transfer information constituting a medical secret to other citizens, including officials, in the interests of examining and treating a patient, for carrying out scientific research, publications in the scientific literature, the use of this information in educational process and for other purposes.
Providing information constituting a medical secret without the consent of a citizen or his legal representative is allowed:
1) for the purpose of examination and treatment of a citizen who, due to his condition, is unable to express his will;
2) in case of a threat of spread infectious diseases, mass poisonings and lesions;
3) at the request of the bodies of inquiry and investigation and the court in connection with the conduct of an investigation or judicial proceedings;
(in ed. federal law dated 24.07.2007 N 214-FZ)
4) in the case of rendering assistance to a minor at the age established by part two of Article 24 of these Fundamentals, to inform his parents or legal representatives;
(as amended by Federal Law No. 151-FZ of December 1, 2004)
5) if there are grounds for believing that harm to the health of a citizen was caused as a result of unlawful actions;
6) for the purpose of conducting a military medical examination in the manner prescribed by the regulation on military medical expertise approved by the authorized federal agency executive power.
(Clause 6 was introduced by Federal Law No. 170-FZ of December 21, 2005, as amended by Federal Law No. 160-FZ of July 23, 2008)
Persons who in statutory information constituting a medical secret, along with medical and pharmaceutical workers, taking into account the damage caused to a citizen, bear disciplinary, administrative or criminal liability for the disclosure of medical secrets in accordance with the law Russian Federation, the legislation of the constituent entities of the Russian Federation.
(as amended by Federal Law No. 122-FZ of 22.08.2004)

Well, if you cope with the work, then everything is fine, the reduced working capacity of the body is just a symptom.

If they don't want to do their job, then let them say so. We need to start communicating with them in writing.

The schedule of diseases (v. 13) says:
"Citizens who are called up for military service are recognized as temporarily unfit for military service for 6 months.

If after 6 months no diseases causing weight loss were detected in citizens, there is no negative dynamics of body mass index (according to monthly examinations), saved physical performance (according to the results of functional load tests), then they are subject to examination under paragraph "e" - Category "B-3" "

Therefore, if one of the conditions is not met, then citizens are not "subject to examination under paragraph "e"" (category B-3),

But I think that the weight that was intended in VK can not be trusted, because. they are interested in your call. Therefore, one must also insist on negative dynamics BMI, let it be measured in an independent institution. Measure the weight in the same clinic with a therapist to compare. It is desirable that there really be a negative trend.

This is probably true, although depending on where to do it. It might be cheaper, I don't know. But in case of victory, legal costs can be reimbursed at the expense of VC.

You can do everything yourself and demand release according to the available documents, it will be cheaper.

Is there a thread on the forum about litigation?