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 THE IMPROVEMENT OF APPROACHES TO THE ASSESSMENT OF EFFECTS OF THE ANTHROPOGENIC AIR POLLUTION ON THE POPULATION IN ORDER TO MANAGEMENT THE RISK FOR HEALTH

2019 ◽  
Vol 98 (1) ◽  
pp. 82-86 ◽  
Author(s):  
Aleksandr O. Karelin ◽  
A. Yu. Lomtev ◽  
M. V. Volkodaeva ◽  
G. B. Yeremin
Keyword(s):  
Risk Assessment ◽  
Air Pollution ◽  
Evidence Based Medicine ◽  
Air Pollutants ◽  
Health Assessment ◽  
Developed Countries ◽  
Epidemiological Methods ◽  
Evidence Based ◽  
Atmospheric Air ◽  
Based Medicine

The air pollution has got a great risk to the health of the population. In the risk assessment, objective and subjective uncertainties have appeared. The aim of the study to analyze the uncertainties arising in the assessment of health adverse effects of air pollution and possible ways to decrease them. Methods of the scientific hypothetical deductive cognition, general logical methods, and approaches of researches: analysis, synthesis, abstracting, generalization, induction. In this paper, we analyzed the uncertainties arising in the risk assessment for the health of population caused by air pollution and proposed measures to improve the approaches to assessment and management of the risk. The analysis revealed the main causes of the uncertainties. In the field of the atmospheric air monitoring, they are lack of modern equipment and officially approved methods for measurement, the absence of criteria and recommendation for choosing of controlled air pollutants. For the health assessment, it is advisable to use epidemiological methods and methodology of risk analysis taking into account the uncertainties of each approach. Usage of the geographic information systems let increase the informativity of data and efficiency of analysis. Accurate quantification of the risk for the health of population caused by air pollution is a difficult to challenge. It is necessary to take into account the experience of developed countries in the development of domestic criteria for the selection of substances for the control of atmospheric air quality. It is advisable to combine the analysis of data on the actual concentrations of pollutants obtained at stationary and mobile observation posts, and integrated calculations of air pollution. It is necessary to use basic concepts of evidence-based medicine to identify the real impact of air pollutants on public health and reduce uncertainties. Conclusion. In the assessment of risk for health caused by air pollution a lot of objective and subjective uncertainties appear. Based on the principles of evidence-based medicine, they should be comprehensively analyzed and minimized using modern methodological approaches, taking into account their capabilities and limitations.

Aeromedical Risk Assessment of Pharmaceuticals Using Evidence-Based Medicine

2015 ◽  
Vol 86 (9) ◽  
pp. 824-829
Author(s):  
Michael B. Prudhomme ◽  
Lincoln G. Ropp ◽  
Samual W. Sauer ◽  
Joseph T. LaVan
Keyword(s):  
Risk Assessment ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

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;

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.

scholarly journals Exploring How Evidence is Used in Care Through an Organizational Ethnography of Two Teaching Hospitals (Preprint)

2018 ◽  
Author(s):  
Bryn Lander ◽  
Ellen Balka
Keyword(s):  
Clinical Practice ◽  
Evidence Based Medicine ◽  
New Technologies ◽  
Medical Training ◽  
Advisory Council ◽  
Teaching Hospitals ◽  
Evidence Based ◽  
Sources Of Information ◽  
Web Based ◽  
Based Medicine

BACKGROUND Numerous published articles show that clinicians do not follow clinical practice guidelines (CPGs). However, a few studies explore what clinicians consider evidence and how they use different forms of evidence in their care decisions. Many of these existing studies occurred before the advent of smartphones and advanced Web-based information retrieval technologies. It is important to understand how these new technologies influence the ways clinicians use evidence in their clinical practice. Mindlines are a concept that explores how clinicians draw on different sources of information (including context, experience, medical training, and evidence) to develop collectively reinforced, internalized tacit guidelines. OBJECTIVE The aim of this paper was to explore how evidence is integrated into mindline development and the everyday use of mindlines and evidence in care. METHODS We draw on ethnographic data collected by shadowing internal medicine teams at 2 teaching hospitals. Fieldnotes were tagged by evidence category, teaching and care, and role of the person referencing evidence. Counts of these tags were integrated with fieldnote vignettes and memos. The findings were verified with an advisory council and through member checks. RESULTS CPGs represent just one of several sources of evidence used when making care decisions. Some forms of evidence were predominately invoked from mindlines, whereas other forms were read to supplement mindlines. The majority of scientific evidence was accessed on the Web, often through smartphones. How evidence was used varied by role. As team members gained experience, they increasingly incorporated evidence into their mindlines. Evidence was often blended together to arrive at shared understandings and approaches to patient care that included ways to filter evidence. CONCLUSIONS This paper outlines one way through which the ethos of evidence-based medicine has been incorporated into the daily work of care. Here, multiple Web-based forms of evidence were mixed with other information. This is different from the way that is often articulated by health administrators and policy makers whereby clinical practice guideline adherence is equated with practicing evidence-based medicine.

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