The frequency of different epithelial tumors of the skin in those working with industrial carcinogens

Author(s):  
A. V. Derevnina ◽  
N. I. Izmerova ◽  
I. Y. Chistova

To identify tumors and assess the risks of malignancy of different epithelial skin neoplasms working with industrial carcinogens, not only the influence of production factors was considered, but also visual diagnostic methods (dermatoscopy) were used, according to the assessment of working conditions.

Author(s):  
A. G. Chebotarev ◽  
O. V. Sokur

Metallurgy is exposed to a complex of production factors, the levels of which often exceed the hygienic standards. Working conditions are characterized by grade 3 (harmful) 2-4 degrees, which determine the level of occupational morbidity (PZ). The PP indicator at ferrous metallurgy plants in recent years has fluctuated from 11.9 to 20.2 cases per 10,000 employees that have passed their MEP. In the structure of PZ 59.5% of cases are respiratory diseases. A trend has been established in these enterprises to increase deaths in the workplace, mainly from diseases of the cardiovascular system.


Author(s):  
I. V. Bukhtiyarov

The article presents the results of the analysis of health, working conditions and prevalence of adverse production factors, the structure of the detected occupational pathology in the working population of the Russian Federation. The article presents Statistical data on the dynamics of the share of workplaces of industrial enterprises that do not meet hygienic standards, occupational morbidity in 2015-2018 for the main groups of adverse factors of the production environment and the labor process. The indicators of occupational morbidity over the past 6 years in the context of the main types of economic activity, individual subjects of the Russian Federation, classes of working conditions, levels of specialized occupational health care. The role of the research Institute of occupational pathology and occupational pathology centers in solving organizational, methodological and practical tasks for the detection, treatment, rehabilitation and prevention of occupational diseases is shown. The basic directions of activity in the field of preservation and strengthening of health of workers, and also safety at a workplace are defined.


Author(s):  
L. Mavrina ◽  
E. Shaikhlislamova ◽  
I. Khasanova ◽  
L. Karimova ◽  
N. Muldasheva ◽  
...  

The relevance of the problem. Ensuring safe working conditions is currently an urgent problem of our time. Purpose of work. Analysis of bibliographic data on issues of occupational risk, industrial injuries among workers of the processing complex. Materials and methods. To achieve this goal, materials related to this topic were studied in the works of domestic and foreign scientists. Results. A lot of scientific works are devoted to the problem of assessing professional risk in the production of a processing complex. Modern research has proved that risk assessment is one of the main methods for analyzing the impact of various production factors on an employee. Conclusion Occupational morbidity and industrial injuries are a consequence of unsatisfactory conditions and labor protection in enterprises.


Author(s):  
O. Klepikov ◽  
A. Boreyko ◽  
G. Kurenkova

The aim of the study was to assess the professional risk of developing diseases in workers of the railway car repair enterprise. The Voronezh Car Repair Plant, a branch of Vagonremmash Joint-Stock Company, was chosen as the object of study. Methods: «The methodology for calculating individual occupational risk depending on the working conditions and the health status of the employee», developed by the Klin Institute for Protection and Working Conditions in conjunction with the Research Institute of Occupational Medicine (2013), the main professions; cohort study with the calculation of the relative risk of morbidity with temporary disability, the odds ratio, the etiological share of factors in the formation of morbidity (group size: 250 people, experimental group — workers of the main specialties, 95 people — comparison group). Results. According to the research results, the priority factors of occupational health risk include: chemical, noise, heating microclimate, low light level. For certain professions, the share of the contribution of priority factors to the risk profile (PV) reaches 40 %. The indicator of individual occupational risk is 0.12 to 0.26 units. The high level of professional risk (0.22 ÷ 0.26) is characterized by the working conditions of the mechanics for the repair of rolling stock, machine tools (woodworking), casters (metal), thermists, plastic casters. In professional groups with medium and high risk, the indicator of the relative risk of morbidity with temporary disability is higher than 1 (RR = 1.75 and 1.39, respectively), and the etiological share of production factors in the formation of diseases is from 27.95 (subgroup with secondary professional risk) up to 42.88 % (a subgroup with high professional risk), which indicates the professional condition of the disease. Discussion. In general, our data are consistent with the results of similar studies conducted earlier at the car building and car repair enterprises. In order to ensure hygienically safe working conditions and preserve the health of workers, it is necessary to reduce the level of exposure to production factors, including through the introduction of modern equipment and improvement of technological processes.


2021 ◽  
pp. 39-44
Author(s):  
S.V. Arabei ◽  
◽  
А.V. Hindziuk ◽  

In the present research, the working conditions of workers employed in the production of medicines in the form of tablets and capsules of a modern enterprise of the pharmaceutical industry have been studied. Based on the results of attestation of workplaces and data of industrial laboratory control of the factors of the production environment for the period from 2016 to 2019, a complex of harmful production factors at workplaces was determined and a comprehensive hygienic assessment of the working conditions of a general purpose machine operator of chemical and pharmaceutical preparations, packaging machine operator, stacker-packer and processor of technological containers and tares. It has been established that the labor activity of the leading professional groups of workers in production is associated with the influence of a predominantly chemical factor due to the presence of harmful chemicals in the air of the working area. According to the data obtained, the air of the working area at the workplace of the operator of a wide profile of chemical and pharmaceutical preparations of the tableting and filling of capsules section is contaminated with harmful chemicals (doxycycline, nystatin, lincomycin, rifampicin, tetracycline, etc.), the concentrations of which exceed the maximum permissible. A hygienic assessment of the parameters of the microclimate, noise and tension of the labor process at the studied workplaces established that there are no deviations from hygienic standards and the working conditions according to these factors are permissible. Thus, the data obtained allow us to conclude that the working conditions of the operator of a wide profile of chemical and pharmaceutical preparations belong to class 3.3, the stacker-packer — 3.1, and the working conditions of the operator of filling and packaging machines and the processor of technological containers and tares are assessed as acceptable.


Author(s):  
A.G. Chebotarev ◽  
D.D. Sementsova

The paper presents the results of hygienic assessment of the working environment and work process factors at surface and underground ore mining operations, ferrous metallurgy plants and aluminum production facilities. It has been established that workers are affected by a complex of production factors (dust, toxic substances, noise, vibration, unfavorable micro climate, etc.), the level of which often exceeds the hygienic standards. The workplace conditions of the primary jobs at these enterprises in 60-80% of cases are classified as hazardous, i.e. Class 3 of various hazard degrees. The incidence of occupational diseases remains high, especially in underground mining and at aluminum production plants. The specific features of mining and metallurgical operations and the severity of unfavorable production factors determine the structure of occupational morbidity. Occupational respiratory diseases are most common among workers in the ferrous metallurgy industry and account for 70.3% in total. Vibration-induced pathologies are most frequently diagnosed among excavator, bulldozer and dump truck operators, and account for 52.9% of all the diagnosed occupational diseases. Hearing organ pathology in the form of neurosensory loss of hearing among workers of mining and metallurgical enterprises ranges from 10.2% (aluminum smelters) to 22.7% (ferrous metallurgy plants) in the occupational morbidity structure. Chronic intoxication with fluorine compounds at aluminum smelters was diagnosed in 68.1% of cases. The results obtained confirm the pressing need to improve the working conditions, introduce preventive measures based on the primary prevention principles, and reduce the risk factors of health problems among the workers.


Author(s):  
E.F. Chernikova ◽  
◽  
I.V. Fedotova ◽  
M.M. Nekrasova

Abstract: Working conditions at metallurgical enterprises are characterized by the impact of a complex of harmful production factors that do not correspond to the normalized levels, which causes the risk of developing professional and professionally conditioned pathology. Trained workers who are exposed for a long time to industrial noise that exceeds the permissible values by 10 dB or more are considered as a risk group for the development of aural (sensorineural hearing loss, SHT) and extraaural (high blood pressure, HBP) pathology. Hearing loss is an important medical and social problem, as it turns into a cognitive dissonance and a violation of verbal communication for the employee. Working conditions at one of the modern metallurgical plants were evaluated according to the data of sanitary and hygienic characteristics of working conditions. The study of the prevalence of SHT and HBP was carried out based on the materials of a medical examination and a questionnaire survey of workers (n=73, male, aged 36-75 years (57.32±0.89), with work experience of 8-58 years (34.29±1.16)). To assess the joint influence of age and seniority, an original scoring system was used, which allowed us to distinguish 3 observation groups. The severity of SHT and HBP was also assessed in points. The study showed a significant increase in the prevalence and severity of hearing loss and HBP with an increase in the duration of exposure and the age of employees. The presence of a close relationship between the analyzed pathology and working conditions is illustrated by the value of the odds ratio in groups 1-3 (ORSHT = 3.75-4.71; ORHBP = 2.0-5.0). Thus, the studied professional group of trained qualified metallurgists needs to develop health-improving measures to preserve labor longevity.


2021 ◽  
pp. 6-26
Author(s):  
Sergey Anatolievich Babanov

The article substantiates the opinion of Russian and foreign authors that the diagnosis of cardiac diseases and the assessment of cardivascular risk in workers, or those entering a job, is associated with the action of harmful production factors. Among the principal factors leading to the development of work-related cardiac diseases, the main place is occupied by functional overstrain and factors of physical activity. In order to preserve the cardiovascular health of workers, it is necessary to develop Federal clinical guidelines for the diagnosis, treatment and prevention of occupational and work-related lesions of the cardiovascular systems, primarily Federal clinical guidelines on work-related hypertension associated with work (high-risk professions).


Author(s):  
V.N. Yolkina ◽  
O.V. Kiyok

It was found, that the special estimation of working conditions and the unification of the evaluation methods of a number of production factors indicators don’t allow to solve the problem of the working conditions influence on the vessel workers. For the solution of the problem it is necessary to consider the question of the enhancement of the methodological support of the special estimation of working conditions according to the specific of work on the modern seagoing vessels.


2020 ◽  
Vol 10 (5) ◽  
Author(s):  
Minh Đức Hoàng ◽  

Abstract Introduction: To diagnose and classify for non-epithelial tumors of the stomach was difficult for physicians because of its non-specific symptoms and intensive diagnostic methods. Materials and Methods: Descriptive cross-sectional retrospective study, monitoring cases of non-epithelial tumors of the stomach surgery at Viet Duc University Hospital from 4/2014 to 5/2019. Results: In 144 cases of non-epithelial tumors of the stomach, there were 122 cases of GIST (stromal tumors had most rate 62,5%), 22 cases of gastric lymphomas, the average age was 56.9, male/female ratio was 1/1, however GIST and lymphomas being seen more in man than woman, in other side, leiomyomas and Schwann tumors being seen more in woman than a man. Diagnosis of non-epithelial gastric tumors mostly by endoscopy (87.9% tumors discovered), by ultrasound through endoscopy (100% tumors found, in that, 2 cases of lymphomas seen with the thick gastric wall), by belly ultrasound (79/113 cases, 59.4%), by CT-Scanner (100% tumors found). Diagnosis of classifying tumor by pathology: Lymphomas (100%), gastrointestinal stromal tumors (GIST) only classified by immunohistochemistry (IHC): stromal tumors (positive marker DOG1 100%, CD17 96,9%, CD34 92,9%), leiomyomas (positive marker Desmin 100%, SMA 90%), Schwann tumors (positive marker S100 100%). Conclusions: Common non-epithelial stomach tumors at Viet Duc University Hospital are stromal tumors, lymphoma, Schwann’s tumors, smooth muscle tumors also fat tumors. Diagnosis is confirmed based on disease anatomy and immunohistochemistry results with markers DOG1, CD17, CD34, Desmin, SMA, S100. Keywords: Non-epithelial tumors of the stomach, diagnose, classify, gastrointestinal stromal tumors (GIST), lymphomas, leiomyomas, Schwann tumors. Tóm tắt Đặt vấn đề: Chẩn đoán và phân loại các u dạ dày không biểu mô là một vấn đề khó đối với thầy thuốc bởi các triệu chứng thường không đặc hiệu và phương pháp chẩn đoán chuyên sâu. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang hồi cứu các trường hợp phẫu thuật u dạ dày không biểu mô tại Bệnh viện Hữu nghị Việt Đức từ tháng Kết quả: Có 144 người bệnh u dạ dày không biểu mô được phẫu thuật tại Bệnh viện Hữu nghị Việt Đức, trong đó có 122 người bệnh u trung mô (trong đó u mô đệm chiếm nhiều nhất 62,5%), 22 trường hợp u lympho, nhóm nghiên cứu có tuổi trung bình là 56,9, tỷ lệ nam/nữ là 1/1. Tuy nhiên u mô đệm và u lympho gặp ở nam nhiều hơn ở nữ và ngược lại, u cơ trơn và u Schwann gặp ở nữ nhiều hơn ở nam. Chẩn đoán u dạ dày không biểu mô chủ yếu bằng nội soi (87,9% phát hiện u trên nội soi), siêu âm nội soi (100% trường hợp phát hiện u, trong đó 2 trường hợp u lympho thấy dày thành dạ dày), siêu âm ổ bụng (79/133 trường hợp, 59,4%), chụp cắt lớp vi tính (100% phát hiện ra u). Chẩn đoán xác định loại u dựa vào kết quả giải phẫu bệnh: U lympho (100%), các loại u trung mô khác phải dựa vào hoá mô miễn dịch: u mô đệm (dương tính với dấu ấn DOG1 là 100%, CD17 là 96,9%, CD34 là 92,9%), u cơ trơn (dương tính với dấu ấn Desmin 100%, SMA là 90%), u Schwann (dương tính với S100 là 100%). Kết luận: U dạ dày không biểu mô thường gặp tại Bệnh viện Hữu nghị Việt Đức là u mô đệm, u lympho, u Schwann, u cơ trơn và u mỡ. Chẩn đoán xác định dựa vào giải phẫu bệnh và kết quả hoá mô miễn dịch với các dấu ấn DOG1, CD17, CD34, Desmin, SMA, S100.


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