Risk assessment of development of distress states at workers in harmful work conditions

Author(s):  
G. A. Bezrukova ◽  
V. M. Pozdnyakov ◽  
I. N. Lutsevich

The tactics of identifying the risk of distress in workers in harmful and/or dangerous working conditions on the basis of an integrated assessment of adaptive reserves of the body, carried out within the framework of mandatory (preliminary, periodic) medical examinations (surveys).

2021 ◽  
Vol 100 (10) ◽  
pp. 1157-1162
Author(s):  
Galina A. Bezrukova ◽  
Mikhail V. Pozdnyakov ◽  
Tamara A. Novikova

Introduction. To increase the effectiveness of social and hygienic monitoring of the health status of workers in harmful and/or dangerous occupation conditions by objectifying the analysis of the health status of workers and timely detection of premorbid forms of pathology, an informational medical advisory and diagnostic system is proposed that ensures the efficiency of using the previously developed methodological recommendations MR 2.2.9.0148-19 “Assessment of the risk of developing states of distress in workers in harmful working conditions”. Materials and methods. The design of the developed computer program is based on the principles of critical assessment of the employee’s health status; multiparametric characteristics of the functional reserves of the body; unity of the information base; the possibility of dynamic monitoring of the health status of employees; automation of data storage and analysis; protection of personal data. Results. The method used by the information system is based on a comprehensive assessment of the functional reserves of the body, correlated by the degree of adaptive stress, including the ranking of the employee health status according to the group of dispensary records, the indicator of adaptive compliance and the level of adaptive immunity. To facilitate the operator’s information support system integrated the List of harmful and (or) hazardous occupation factors, the presence of which is a mandatory preliminary and periodic medical examinations (surveys) and reference weight values, heart rate and blood pressure corresponding to the physiological norm concerning gender and age of the employee. Conclusion. The proposed information system can be used during periodic medical examinations to form risk groups for the development of occupational and production-related morbidity, as well as to assess the effectiveness of hygienic and therapeutic and preventive measures aimed at improving the health of workers in harmful occupation conditions.


2018 ◽  
Vol 3 (2) ◽  
pp. 30-36
Author(s):  
LA A Strizhakov ◽  
SA A Babanov ◽  
DS S Budash ◽  
AG G Baikova

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;


2021 ◽  
Vol 14 (3) ◽  
pp. 56-68
Author(s):  
V. Yu. Golikov ◽  
A. V. Vodovatov ◽  
L. A. Chipiga ◽  
I. G. Shatsky

The aim of the study was to develop a methodology for assessing radiation risk for patients undergoing medical examinations in the Russian Federation. The methodology is based on the risk model of the ICRP Publication 103, the coefficients of lifetime radiation risk for the Russian population and the results of evaluating the doses of patients in the Russian Federation. For thirty examinations that define about 80% of the collective dose of the population of the Russian Federation from medical exposure, the radiation risk was calculated using «gold standard», — the organ doses and the corresponding sex/age risk coefficients for the Russian population. For other examinations (with the exception of mammography) the values of the risk coefficients normalized on 1 mSv of effective dose, which is the averaged value for four selected anatomical areas of the body: head, neck, chest and abdominal cavity — pelvis, were used. It is assumed that for such examinations the error of risk assessment will increase relative to the error of risk assessment for the aforementioned 30 examinations not more than 30%. It is shown that risk estimates for some examinations calculated using the “gold standard” may differ from such estimates on the base of effective dose and nominal risk coefficients averaged by age and the sex to the order of magnitude. 


Author(s):  
E. A. Mishina ◽  
I. . Kudryashov ◽  
O. V. Belometsnova

A comprehensive study of working conditions and health status of individuals running the crusher machines was done. Occupational risk assessment was conducted. The impact of the production process on the body systems functioning was estimated.


Author(s):  
N.P. Astasheva ◽  
◽  
T.S. Ogurtsova ◽  

The paper considers the basic principles of using risk-oriented approaches in evaluation and improving of work conditions at the JSC «KB Himmash named after A.M. Isaeva». The introduction of the risk management procedure is manifested in decreasing the amounts of work conditions. The introduction of a risk-oriented approach should be comprehensive based on the most important risks and activities. It must be noted that the criteria should include the value of each of them. The paper presents the procedure for identi cation, analysis and assessment of risks in the divisions of the enterprise. The results of the analysis of working condition at the enterprise in 2020 are also presented. This article reports the examples of recommended measures to improve working conditions in JSC «KB Himmash named after A.M. Isaeva».


Author(s):  
Irina V. Fedotova ◽  
Tatyana N. Vasilyeva ◽  
Tatyana V. Blinova ◽  
Irina A. Umnyagina ◽  
Yuliya V. Lyapina ◽  
...  

Introduction. Digital technologies are actively used in the work of specialists of medical centers of various profiles, which causes the impact on employees of a number of professional factors that determine the characteristics of their work. The aim of the study is to evaluate the influence of professional factors on the functional state of the employees' body and the glutathione system as an objective indicator of stress based on the analysis of the subjective perception of the medical center employees of the specifics of working with personal computers and psychophysiological testing. Materials and methods. The study involved 109 specialists of medical centers (25 ophthalmologists, 31 representatives of the secondary medical staff - nurses and paramedics, 53 office employees). The anonymous survey concerned the assessment of working conditions and their impact on the functional state of the body of the respondents. Performance and stress tolerance indicators were evaluated using three standard questionnaires. The study of 66 subjects' levels of glutathione in the blood: total, reduced, oxidized and the ratio of reduced and oxidized - was used to analyze the relationship of the neuro-emotional nature of labor with the reaction of oxidative stress. Statistical processing of the obtained data was carried out using traditional methods of variation statistics and calculating the value of the odds ratio (OR) with a 95% confidence interval (CI). Results. The survey revealed a significant proportion of people in all groups of respondents who constantly use computer technology in their work. Describing the quality of the processed information, doctors more than representatives of other groups note its complexity, importance, negative emotional color, a high degree of responsibility and tension. Doctors more often than average medical staff and office workers associate the manifestation of fatigue with an uncomfortable state of the visual organ, nervous system, and musculoskeletal system. The subjects showed reduced performance and stress tolerance with the most pronounced negative trends in the group of doctors. Changes in the glutathione system were detected, indicating the presence of oxidative stress in 40% of ophthalmologists and office workers, and in half of nurses. Conclusions. The work of specialists of medical centers of various profiles in accordance with their assessment is characterized by high nervous and emotional stress, due to the need to process a significant amount of complex and important professionally significant information. Subjectively noted by respondents the influence of working conditions on the functional state of the body is confirmed by indicators of the glutathione system, which can be used as indicators of nervous and emotional stress.


Author(s):  
Galina V. Kurenkova ◽  
Natalia A. Sudeikina ◽  
Elizaveta P. Lemeshevskaya

Introduction. Professional groups of railway workers engaged in the repair of wagons are directly responsible for the safety of railway traffic. The analysis of literature testifies to insufficient attention of researchers to the hygienic problems associated with labor activity of workers of wagon-repair production.The aim of the study is to assess the occupational risk to the health of wagon repair workers, due to the impact on them of factors of the working environment and the labor process.Materials and methods. The study used comprehensive hygienic studies using the methodology of occupational risk to worker’s health.Results. The leading factors of the working environment (class of working conditions 3.2–3.4), which are exposed to workers depending on the specifics of the work performed. Identified professional groups with medium (significant) high (unbearable) and very high (intolerable) category of a priori occupational risk: in wagon meintenance workshop — 17 groups (94% of jobs), in a wagon assembly workshop — 11 groups (80% jobs), in wagon wheel workshop — 3 group (100% jobs). At the same time, according to the request for medical care, employees were diagnosed with isolated cases of occupational diseases.The levels of morbidity with temporary disability of employees of the main workshops are statistically significant (p<0.05) higher than those of the control group in 1.4–1.9 times. The influence of the complex of chemical factors of low and medium intensity on the levels of morbidity of respiratory diseases in the group of workers of the wagon wheel workshop, which were 1.7–2.0 times higher than in the control group, is confirmed by the average degree of causation of the production condition of this pathology (RR=1.7; EF=42.0%).The combined effect of vibration and severity of the labor process forms a high level of temporary disability of employees of the main workshops in connection with diseases of the musculoskeletal system, which was 2.7–4.4 times higher than in the control group, and also determines the prevalence of this pathology in the structure of diseases detected on medical examinations (23.2%). Diseases of the musculoskeletal system are caused by the production of employees of the wagon meintenance workshop (RR=3,9; EF=74,9%), as the most unfavorable in terms of hygiene on these factors.The stressful influence of the complex of harmful production factors on the health of wagon repair workers is manifested by the high risk of diseases of the cardiovascular system, gastrointestinal tract, neurological disorders, violation of adaptation of the cardiovascular system in 97% of the examined, as well as the predominance of diseases of the digestive system and circulatory system detected on periodic medical examinations.Conclusions. Harmful working conditions (class 3.1–3.4) cause the suspected occupational risk from small (moderate) to very high (intolerable) to 100% of the jobs of wagon repair workers. The results of the study of morbidity and risk of pathology indicate a significant risk of damage to the health of workers.


Organization ◽  
2015 ◽  
Vol 22 (4) ◽  
pp. 570-587 ◽  
Author(s):  
Amanda Peticca-Harris ◽  
Johanna Weststar ◽  
Steve McKenna

This article examines two blogs written by the spouses of game developers about extreme and exploitative working conditions in the video game industry and the associated reader comments. The wives of these video game developers and members of the game community decry these working conditions and challenge dominant ideologies about making games. This article contributes to the work intensification literature by challenging the belief that long hours are necessary and inevitable to make successful games, discussing the negative toll of extreme work on workers and their families, and by highlighting that the project-based structure of game development both creates extreme work conditions and inhibits resistance. It considers how extreme work practices are legitimized through neo-normative control mechanisms made possible through project-based work structures and the perceived imperative of a race or ‘crunch’ to meet project deadlines. The findings show that neo-normative control mechanisms create an insularity within project teams and can make it difficult for workers to resist their own extreme working conditions, and at times to even understand them as extreme.


Author(s):  
Priyanka Peter ◽  
Prof. Vaibhav S. Umap

Aviation crashes all over the world have recently been on the high rise, stemming from negligence, mechanical faults, weather, ground control errors, pilot errors, taxing and maintenance crew errors as are probable reasons for such accidents. This case study models the probabilistic risk assessment of runway incursion data endeavored to determine the correlation in between the reported incursions that occurred at Nagpur airport between fiscal years 2005 and 2015 and the meteorological conditions, times of day, and presence of an air traffic control tower of Nagpur Airport. With runway incursions long-plaguing the safety of aviators, their passengers, and aviation refining the body of knowledge underpinning incursions coupled with ongoing prevention efforts aspire to diminish the annual incidence of incursions, increase safety, and save lives. In accordance with this mission, mining the Civil Organization (ICAO), and Federal Aviation Association (FAA) runway incursion databases and analyzing the resulting hours, and at airport with an air traffic control tower.


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