scholarly journals HYGIENIC ASPECTS OF THE MEDICAL WORKER’S SAFETY AND THE PROBLEM OF THE EVALUATING PROFESSIONAL RISK

2019 ◽  
Vol 98 (1) ◽  
pp. 49-54
Author(s):  
I. P. Saldan ◽  
A. S. Nagornyak ◽  
B. A. Balandovich ◽  
Nikolay Yu. Potseluev ◽  
A. A. Krasikov ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Working Conditions ◽  
Ionic Composition ◽  
A Priori ◽  
Medical Personnel ◽  
Occupational Risk ◽  
Annual Review ◽  
Physical Factors ◽  
Production Environment ◽  
Special Assessment

The article reflects methodological approaches to the construction of a priori models for assessing the occupational risk of medical workers in physiotherapeutic departments of sanatoriums under the influence of a complex of negative factors of the production environment. The authors carried out a comprehensive hygienic assessment of the occupational risk of medical personnel with the combined use of physiotherapeutic procedures in one of the sanatoria and resort institutions of the Altai Territory. The main objectives of the study were to measure physical, radiation and chemical factors in the work environment at workplaces of medical personnel and to calculate the degree of the occupational risk of workers in accordance with a priori risk assessment models. Based on the results of measurements of physical factors at workplaces of medical workers of physiotherapeutic departments, it is possible to conclude that complex harmful effects include inadequate levels of the air temperature in the work area, artificial illumination, air ionic composition of air and electromagnetic fields. The calculated risk was 0.0975, which corresponds to a moderate risk. The obtained results testify to the existence of a risk, the level of which cannot be neglected, despite the compliance of the level of impact with normative documents. The results of studies of the radiation factor at workplaces in the radon therapy department indicate the equivalent equilibrium radon volume activity to range from 25-109 Bq/m³,and the ambient dose equivalent of gamma radiation in the range of 0.15-0.18 μSv/h, which corresponds to hygienic standards. Therefore, the use of risk-oriented models seems reasonable even in working conditions that are not harmful or dangerous according to the criteria for a special assessment of working conditions. The leading role of electromagnetic radiation for this category of workers is proved in the course of calculations using risk-oriented models of professional risk assessment. It is proposed to develop measures to reduce the electromagnetic load, taking into account the medium and short-term outlook, with an annual review of the degree of occupational risk.

A study of the factors of the production environment of medical personnel of medical organizations of the Samara Region

2020 ◽  
pp. 778-778
Author(s):  
D. S. Tupikova
Keyword(s):  
General Practitioners ◽  
Working Conditions ◽  
Medical Personnel ◽  
Physical Factors ◽  
Production Environment ◽  
Biological Factors ◽  
Chemical Factors ◽  
Special Assessment

Working conditions can adversely affect the health of medical workers. According to the results of a special assessment of working conditions (SOUT), carried out in medical organizations, general practitioners were given class 2 of working conditions for chemical and physical factors, for biological factors - 3.2; surgeons - 2 class of working conditions for chemical factors, 3.1 for physical (light), for biological factors - 3.3.

scholarly journals The Quality Improvement of Periodic Medical Examinations of Working People and Professional Aptitude Expertise

2018 ◽  
Vol 3 (2) ◽  
pp. 30-36
Author(s):  
LA A Strizhakov ◽  
SA A Babanov ◽  
DS S Budash ◽  
AG G Baikova
Keyword(s):  
Risk Assessment ◽  
Quality Improvement ◽  
Working Conditions ◽  
Occupational Risk ◽  
Primary And Secondary Prevention ◽  
Existing Problems ◽  
Working People ◽  
Special Assessment ◽  
Medical Examinations ◽  
Selection Of

Aims - to analyze the historical aspects of the formation of the national normative framework in the field of primary and periodic medical examinations, to discuss the existing problems in the carrying out of primary and periodic medical examinations of workers and also to make suggestions for quality improvement of primary and periodic medical examinations and for introduction of occupational risk assessment into the practice of primary and periodic medical examinations. Conclusion. For quality improvement of primary and periodic medical examinations, for efficiency improvement of primary and secondary prevention of occupational diseases it is considered to be necessary to take the following suggestions: - fuller coverage of working people by periodic medical examinations; - thorough selection of organizations that perform the special assessment of working conditions; - the use of the results of the special assessment of working conditions for improving working conditions and informing workers about working conditions; - implementation of occupational risk assessment into practice of primary and periodic medical examinations; - the use of modern methods of molecular and genetic screening;

Current state of working conditions and health of employees of the chemical organ synthesis enterprise

2021 ◽  
Vol 61 (6) ◽  
pp. 408-414
Author(s):  
Galina A. Bezrukova ◽  
Tamara A. Novikova
Keyword(s):  
Working Conditions ◽  
A Priori ◽  
Significant Risk ◽  
Production Equipment ◽  
Production Environment ◽  
Chemical Production ◽  
Current State ◽  
The Status ◽  
Special Assessment ◽  
Somatic Diseases

Due to the modernization of chemical production in recent years, specialists note a reduction in detection of occupational intoxication and a decrease in the overall occupational morbidity of workers in the chemical industry. At the same time, the risk of loss of professional aptitude for general medical contraindications and the preservation of the functional longevity of employees comes to the first place. The study aims to conduct a comprehensive analysis of the current state of working conditions and health from chemical organ synthesis enterprise employees. The experts analyzed the state of working conditions of production workers under a special assessment of working conditions. In addition, we studied the status of the leading professional groups of the enterprise according to the results of a periodic medical examination (PME). The working conditions in the primary professions of the enterprise for the production of acrylic acid nitrile, sodium cyanide, and related products are harmful to 1-3 degrees (subclasses 3.1-3.3). Scientists estimated the a priori occupational risk to employees' health from exposure to harmful factors of the production environment in the categories from small (moderate) to high (intolerable), where it is necessary to take urgent measures to reduce it. Scientists recognized three employers out of 522 who work in harmful working conditions for general medical contraindications (coronary heart disease) as unfit for professional work. We allowed 14 people to work in the profession with restrictions. Specialists identified common somatic diseases in 335 people: sciatica of the lumbosacral level (23.7%), chronic bronchitis (15.3%), essential hypertension (14.4%), and cerebral atherosclerosis (12.3%). The employees of chemical organ synthesis enterprises work in harmful working conditions, namely: the presence of toxic chemicals in the air of the functional area, an increased noise level generated by working production equipment, and the severity of the labor process. An adequate system of hygienic monitoring and organizational and technical measures makes it possible to reduce the class of the degree of harmfulness of working conditions according to the chemical factor to acceptable ones. Polyethological general somatic diseases create the most significant risk of loss of professional aptitude in personnel. Harmful factors of work and lifestyle aggravate the involutional processes.

scholarly journals Assessment of labor conditions of working drilling units for oil production

2021 ◽  
Vol 65 (1) ◽  
pp. 50-53
Author(s):  
Natalya I. Nikolaeva ◽  
Andrey S. Filin ◽  
Glafira S. Dikaya
Keyword(s):  
Working Conditions ◽  
Oil Production ◽  
Operating Conditions ◽  
Occupational Risk ◽  
Production Environment ◽  
Drilling Rig ◽  
Production Factors ◽  
Noise Vibration ◽  
Special Assessment ◽  
Medical Examinations

Introduction. During oil production, drillers are exposed to harmful occupation production factors: noise, vibration, the severity and intensity of work, microclimatic conditions, oil, and components. The purpose of the study was to conduct comprehensive investigations of working conditions and health status, to assess the occupational risk of drillers at an oil production enterprise. Material and methods. The work was carried out within the framework of the special assessment of working conditions carried out according to the plan. The influence of occupational factors of the production environment on workers’ health was assessed by indices of occupational morbidity and the results of periodic medical examinations of drillers servicing the drilling rig for oil production driller 5000.320 ERO for the period 2013-2018. Results. Analysis of the measured parameters of harmful occupation factors indicates noise, vibration, and psychophysiological indices to be the leading indices of working conditions that affect the employees’ health. The general assessment of employees’ working conditions corresponds to the class- 3.3 (harmful), the category of occupational risk - high (unbearable). The source of harmful effects on workers is the equipment of the drilling rig 5000.320 ERO. Analysis of medical documents drillers over 5 years revealed a link between working conditions and the development of occupational diseases (vibration disease, sensorineural hearing loss); between operating conditions and the development of career-related diseases: musculoskeletal system (arthrosis, arthritis, osteochondrosis, etc.); the peripheral nervous system (radiculitis, plexitis, polyneuritis, etc.); diseases of the respiratory system (bronchitis, pneumonia, asthma, and respiratory diseases, etc.). Conclusion. To prevent the negative impact of harmful production factors at the enterprise it is necessary to provide many preventive measures: automation, mechanization, sealing of equipment, employees have to be equipped with personal protective equipment, improving the quality of preliminary and periodic medical examinations.

scholarly journals OCCUPATIONAL RISK ASSESSMENT METHODS AND THEIR INFORMATION SUPPORT

2019 ◽  
Vol 98 (12) ◽  
pp. 1327-1330 ◽  
Author(s):  
I. V. Bukhtiyarov ◽  
A. F. Bobrov ◽  
Eduard I. Denisov ◽  
A. L. Eremin ◽  
N. N. Kur’erov ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Occupational Health ◽  
Working Conditions ◽  
Evidence Based Medicine ◽  
New Technologies ◽  
Occupational Risk ◽  
Whole Body ◽  
Evidence Based ◽  
Special Assessment ◽  
Based Medicine

The digital transformation of the economy and society prompts the renewal of methods in occupational health as well. There are outlined fundamentals of the draft revision of the “Guidelines for the Assessment of Occupational Risk to Employee Health. Organizational and methodological foundations, principles and criteria for the assessment». R 2.2.1766-03. The draft contains methods of occupational risk (OR) assessment supplied with information materials and software for working on the Internet in real-time. Algorithms and models for calculating the probability of impairment of health according to data of the Special Assessment of Working Conditions (SAWC) as well as causation algorithms - work-relatedness assessment according to data of periodic medical examinations (PME) for the validity of risk assessment from the standpoint of evidence-based medicine are presented. There are set out methods for calculating the probability of the formation of occupational diseases (OD) of the main nosological forms from the exposure of noise, hand-arm and whole-body vibration, heat and cool microclimate, fibrogenic dusts, physical labor (local, regional and general loads), strenuous work, standing work with the likelihood of varicose lower veins limbs, multi-factor exposure and low-back pain. Risk assessments for the reproductive health of workers are also discussed. The models are based on the documents of the WHO, ILO, ISO, domestic and foreign literature data that meet the principles of evidence-based medicine. The problems of work-related diseases (WRD) - the concept of WHO (1987) -basics of etiology, qualitative and quantitative criteria for causation, models of consensus and evidence-based medicine, as well as projects for integrated work on the detection systems for WRD in the European Union countries are considered. Single-digit indices of working conditions and health problems, moral harm caused to an employee suffering from OD or WRD. Hygienic recommendations to employers on OR management, prevention priorities, the role of personal protection equipment, the basics of corporate health promotion programs, and ethical and economic aspects are described. The calculation methods are provided by the software of the electronic online reference book “Occupational Risk” (URL: http://medtrud.com/) in order to ensure evidence-based decisions of hygienists. In conclusion, a turning point in occupational health is noted: a decrease in the detection of traditional ODs without compensation by the number of OD and WRD from new technologies, materials and risk factors; this problem requires urgent action.

scholarly journals Analysis and Risk Assessment of the Working Conditions of a Steam Turbine Operator

2001 ◽  
Vol 14 (5) ◽  
pp. 520-537
Author(s):  
Irina V. Andrunyak ◽  
Keyword(s):  
Risk Assessment ◽  
Hearing Loss ◽  
Steam Turbine ◽  
Working Conditions ◽  
Human Body ◽  
Risk Taking ◽  
Main Factors ◽  
Special Assessment ◽  
The Impact ◽  
Negative Factors

The article analyzes the negative factors of a steam turbine operator of the 5th category using the example of the Krasnoyarsk CHP. The main factors determining the working conditions are reflected. Based on the results of a special assessment of working conditions classes (subclasses) of conditions for a steam turbine operator have been identified. The definitions and the procedure for assessing occupational risk, taking into account injuriesin hazardous areas, have been formulated, on the basis of which a tree of events of the occurrence of accidents has been built. The calculation of risk assessment of working conditions, where the main harmful factor is the impact of noise on the human body and the resulting hearing loss is proposed

scholarly journals Assessment of occupational health risk for employees of the main occupations of aluminum production

2020 ◽  
Vol 99 (10) ◽  
pp. 1106-1111
Author(s):  
Nina M. Meshchakova ◽  
Salim F. Shayakhmetov ◽  
Viktor S. Rukavyshnikov ◽  
Alexey V. Merinov
Keyword(s):  
Health Risk ◽  
Working Conditions ◽  
Occupational Risk ◽  
Aluminum Production ◽  
Production Environment ◽  
Total Risk ◽  
Occupational Groups ◽  
Working Zone ◽  
Occupational Risks ◽  
Increased Risk

Introduction. The Russian aluminum industry is one of the world’s leading producers of aluminum. At the same time, the features of aluminum production technology contribute to the formation of unfavorable working conditions and increased risk to the health of workers. In this regard, an urgent but insufficiently studied issue in the production of aluminum is the assessment of occupational risks that establish the likelihood of health disorders in workers. Material and methods. The basis of the assessment of occupational risks was the existing regulatory documents (Guidelines) issued by the Federal Center for Hygiene and Epidemiology of Russian Consumer Health and Epidemiology. Existing methodical recommendations and medical technologies were used to calculate occupational risks and allowable working time (experience) under the chemical factor. The values of the annual volume of the air inhaled by the individual of the production environment and the average annual concentrations of toxicants, determined in the air of the working zone of the employees of the main occupational groups, were used. Occupational risk calculations were carried out over a period of 25 years. The total risk assessment for individual occupational groups was conducted under the probability (risk) rule calculated for individual chemicals. Results. Studies have found the average annual concentrations of harmful substances in the air of the working area over the past 5 years to be significantly lower when using the upgraded electrolysis technology (UET) compared to the traditional technology of self-burning anodes (SBA). The exception was hydrofluoride, whose concentrations did not depend on the technologies used, exceeding the MPC by 1.7 - 3.0 times. The total health risk for employees of the main occupations over a period of 25 years was in the range of 7.2 to 22.1% when using SBA, which is almost 2 times higher than when using UET (from 3.7 to 11.6 %). The highest levels of risk were observed in the group of workers using SBA and operators of electrolysis baths with UET, and the lowest - in the crane operators using both technologies. Conclusion. The use of indices of occupational risk and acceptable working hours under the influence of adverse production factors allows identifying a contingent of employees with an increased level of exposure to occupational hazards. Based on the obtained data, it is possible to predict the levels of occupational morbidity and evaluate the effectiveness of measures to improve working conditions, which plays an important role in managing occupational risk.

scholarly journals Assessment of the working conditions of medical personnel in military medical organizations during the pandemic of new coronavirus infection

2021 ◽  
pp. 35-42
Author(s):  
S. V. Grebenkov ◽  
V. E. Batov ◽  
S. M. Kuznetsov
Keyword(s):  
Working Conditions ◽  
Healthcare Professionals ◽  
Working Hours ◽  
Medical Personnel ◽  
Emergency Situations ◽  
Leading Role ◽  
Occupational Risks ◽  
Actual Working ◽  
Coronavirus Infection ◽  
Special Assessment

Relevance. During the pandemic of new coronavirus infection, healthcare professionals have increased occupational risks of exposure to the pathogen SARS-CoV-2, as well as physical and psychological stress, especially when treating Covid patients in “red zones”. Such a change in working conditions wasn’t reflected in the results of a special assessment, which requires the development of an individual scientifically based approach to its organization in conditions equated to emergency situations. Intention. Evaluate the results of a special assessment of working conditions and their compliance with actual working conditions, taking into account the health risks for healthcare professionals taking care of Covid patients.Methodology. We retrospectively conducted a comparative analysis of 295 cards for a special assessment of the working conditions of medical personnel of military medical organizations of therapeutic and infectious profile over 2015–2019, and 266 cards from the same organizations for 2020.Results and Discussion. Study of cards for special assessment of working conditions of medical personnel of military medical organizations for 2015–2020 showed the leading role of biological factors for all categories of medical personnel. Working in the “Red zone” should be assessed as 3.3 (Degree III harmful) based on biological hazard or 4 (dangerous) due to risks of acute occupational diseases and death. This should be reflected in the results of special assessment of working conditions and compensated via reduction of working hours. However, in the context of the pandemic, actual working hours of healthcare professionals exceeded the established 39 hours per week (Article 350 of the Labor Code of the Russian Federation), and the medical personnel were allowed to work with the pathogen of Group II pathogenicity without preliminary medical examinations.Conclusion. Analysis of the results of special assessment of the working conditions of medical personnel showed that they do not reflect the actual harmful (dangerous) working conditions of employees involved in providing care to patients with new coronavirus infection in these medical and preventive institutions.

scholarly journals Assessment of the working conditions under exposed to noise and infrason

2021 ◽  
Vol 23 (1) ◽  
pp. 207-214
Author(s):  
Vasily G. Mironov ◽  
Nikolai D. Khasiev ◽  
Vadim S. Isachenko ◽  
Ksenia Yu. Korolevа
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Noise Exposure ◽  
Armed Forces ◽  
Medical Examination ◽  
Physical Factors ◽  
Industrial Noise ◽  
The Russian Federation ◽  
Special Assessment

Currently in healthcare of the Russian Federation created a system of measures to combat the harmful effects of industrial noise on workers. However, the level of specific and nonspecific morbidity rates the effect of industrial noise is not reduced, and the incidence of occupational diseases tends to increase. This is due to several reasons, including a large number of sources of noise, not enough high quality of medical examinations, lack of and low effectiveness of means of individual protection from noise and others. Noise is one of the leading places among the harmful physical factors in the Armed forces of the Russian Federation. Features noise resulting from the operation of military equipment and armament is its high intensity, intermittent nature, the presence in the spectrum of low and infrasonic frequencies. Noise exposure leads to the development of diseases, primarily of the organ of hearing, increase in total morbidity and the reduction of military-professional health. In the normative documents of the military medical service the noise is not identified as a harmful factor leading to the development of occupational diseases that were not fully developed the issues of professional selection and medical examination of noise pathology. System noise control should be comprehensive and include organizational and technical measures, special assessment of working conditions, monitoring of noise sources, the presence and correct application of means of protection against noise professional selection, clinical monitoring, medical examination, treatment and preventive measures. Existing in the Armed forces of the Russian Federation the system of measures for the fight against harmful impact of noise on military personnel requires revision in accordance with the existing state legislative framework.

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