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 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 THE ASSESSMENT OF WORKING CONDITIONS OF RADIOLOGY TEHNICIAN DEGREE THE STATE EXAMINATION

2020 ◽  
Vol 2020 (1) ◽  
pp. 226-231
Author(s):  
Anzhela Krasnova ◽  
Dar'ya Tkachenko
Keyword(s):  
Electromagnetic Field ◽  
Ionizing Radiation ◽  
Working Conditions ◽  
The State ◽  
Labor Process ◽  
Biological Factors ◽  
X Ray ◽  
Chemical Factors ◽  
State Examination ◽  
Industrial Frequency

The article deals with dangerous and harmful factors in the workplace of an x-ray technician, which are investigated after the state examination on the application of employees who are dissatisfied with the implementation of the pecial assessment of working conditions at this workplace. It is shown that the x-ray technician is influenced by chemical factors, biological factors, noise, industrial frequency electromagnetic field, ionizing radiation, light environment, and the severity and intensity of the labor process

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.

Results of special assessment of working conditions for workers in various sectors of economy of the Republic of Bashkortostan

2020 ◽  
pp. 41-48
Author(s):  
Elena Abrakhmanova ◽  
Lyaylya Masyagutova ◽  
Aynur Gabbasov ◽  
Akhat Bakirov ◽  
Galina Gimranova ◽  
...  
Keyword(s):  
Working Conditions ◽  
Physical Factor ◽  
Biological Factor ◽  
Production Environment ◽  
Professional Groups ◽  
Republic Of Bashkortostan ◽  
The Republic ◽  
The Moment ◽  
Special Assessment ◽  
The Impact

The work presents data analysis of the results of special assessment of working conditions for workers of various branches of economy in the Bashkortostan Republic. Results of special assessment of working conditions (SAWC) and medical examinations were used for the analysis. It is noted, that some professional groups, for example, persons performing their work in the sphere of agriculture, have no exposure to the biological factor. Construction workers were not exposed to industrial vibration, while the noise level for half of the analyzed cases was of class 2.0, although in most cases, industrial noise and vibration have single source. Proportion of facilities that revealed a discrepancy between levels of harmful industrial factors and requirements of sanitary legislation remains high. The greatest share of objects does not correspond to sanitary and epidemiological requirements according to the chemical and physical factor. At the moment, SAWC does not fully reflect the working conditions of employees in different sectors of production. Underestimation of its influence on working conditions of workers is typical for a considerable number of professional groups and individual jobs. Analysis on the basis of SAWC is not sufficient for a hygienic assessment of the impact of production environment factors and labour process on health and requires comprehensive assessment methods.

Dermatoscopy is effective method for diagnostics of skin neoplasms in workers with industrial carcinogens

2021 ◽  
Vol 61 (4) ◽  
pp. 267-274
Author(s):  
Natalia I. Izmerova ◽  
Ilona Ya. Chistova ◽  
Natalia A. Bogacheva ◽  
Yana A. Petinati ◽  
Anastasia V. Derevnina
Keyword(s):  
Occupational Health ◽  
Working Conditions ◽  
High Efficiency ◽  
Skin Neoplasms ◽  
Skin Lesions ◽  
Production Environment ◽  
Risk Of Malignancy ◽  
Special Assessment ◽  
Medical Examinations ◽  
The Impact

Introduction. One of the urgent problems of medicine around the world is the growth of malignant diseases. The impact of the production environment in developing professional and production-related skin malignancies is a sensitive area of occupational health. The high prevalence of precancerosis and the increase in the incidence of skin cancer in people of working age indicates the need to improve diagnostic and preventive measures. One of the most effective recognized non-invasive differential diagnoses of skin tumors with high diagnostic accuracy and sensitivity is dermatoscopy. The study aims to substantiate the importance of dermatoscopic diagnosis of skin neoplasms in workers with industrial carcinogens. The researchers analyzed the available literature and statistical data on the impact of industrial carcinogens on benign and malignant skin lesions in workers in various industries. Specialists from Clinic of the "Izmerov Research Institute of Occupational Health" examined 1,136 people during periodic medical examinations. The features of the signs of neoplasms evaluate according to the principle of their presence or absence. There were two groups: group 1 (n=648) consisted of persons who have contact with industrial carcinogens according to the special assessment of working conditions (SAWC), group 2 (n=488) - persons who do not have contact with carcinogens in the workplace. We found that the frequency of benign skin neoplasms increases depending on the length of work in contact with a production carcinogen. Researchers developed the criteria of clinical and anamnestic signs (the main of which are the working conditions). Dermatoscopic criteria for the initial signs of malignancy of skin neoplasms allow us to form a group of dynamic observations of skin neoplasms in patients working with carcinogens during periodic medical examinations. We formed a group of 38 people (29 from the first and 9 from the second group) for monitoring the dynamics of changes in neoplasms with an appearance to a dermatovenerologist after three months. Specialists sent seven people for additional examination by an oncologist to clarify the degree of existing signs of dysplasia. The formation of a dynamic observation group with the risk of malignancy of skin neoplasms will optimize early diagnosis and ensure high efficiency of treatment in outpatient settings.

PREPARING AND CONDUCTING A SPECIAL ASSESSMENT OF WORKING CONDITIONS: OPINIONS OF PARTICIPANTS AND RECOM-MENDATIONS TO CUSTOMER ORGANIZATIONS

2020 ◽  
Vol 9 (2) ◽  
pp. 78-83
Author(s):  
A. Luzakov ◽  
D. Tkachenko
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Legal Aspects ◽  
Labor Process ◽  
Subjective Perception ◽  
Production Environment ◽  
Regulatory Documents ◽  
The Russian Federation ◽  
The Law ◽  
Special Assessment

Special assessment of working conditions (SAWС) is a set of measures to identify harmful and (or) dangerous factors of the production environment and the labor process and assess the level of their impact on the employee. SAWС is regulated by the law of the Russian Federation and is mandatory for employers organizations. The current rules have been applied in practice relatively recently, since 2014. Despite a lot of comments on the legal aspects of SAWС, there is little research on the subjective perception of customers and performers of problems related to special assessment. The article presents some of the results of a survey of experts who conduct SAWС and representatives of customer organizations. The difficulties and reasons for dissatisfaction arising during the SAWС are identified, which relate to the choice of the contractor, the interest and involvement of customers, and compliance with procedures and deadlines by both parties. Based on the results of the survey and regulatory documents, step-by-step recommendations were developed and presented to help customer organizations. Recommendations contain a list of common errors that should be avoided. They will allow you to properly prepare and conduct all the stages of the SAWС, starting from the formation of the Commission to the application of the results.

scholarly journals RISK FACTORS IN THE PROCESS OF EMPLOYMENT OF MEDICAL WORKERS OF THE DENTAL PROFILE

2021 ◽  
pp. 38-42
Author(s):  
L. F. Horzov ◽  
M. V. Krivtsova ◽  
E. Ya. Kostenko ◽  
M. I. Balega ◽  
V. I. Voitovich
Keyword(s):  
Ionizing Radiation ◽  
Working Conditions ◽  
Chemical Exposure ◽  
Labor Process ◽  
Labor Intensity ◽  
Production Environment ◽  
Total Contribution ◽  
Artificial Lighting ◽  
Production Factors ◽  
Special Assessment

One of the most socially important types of work is the work of medical workers. Due to the presence of a significant number of harmful and dangerous factors, the medical profession is divided into a separate group, which in turn is characterized by unique aspects of work. The work of doctors and nurses of different specialties of the dental profile differs significantly in the density of the working day, the volume and nature of professional activities; responsibility for the life of the patient, which affects many physiological processes. The purpose. Assessment and comparative characterization of the presence of occupational risks in the dental field, which are daily exposed to factors of aggressive and dangerous nature, as well as the development of a set of preventive measures aimed at reducing occupational morbidity. Materials and methods. Hygienic research of working conditions of medical staff of the University Dental Clinic in the form of a questionnaire. Statistical analysis of data of special assessment of working conditions; sanitary and hygienic characteristics, acts, maps of cases of nosocomial diseases; laboratory and instrumental research conducted as part of production control; dosimetric control, air sampling with subsequent sowing on the nutrient medium of IPA. Results. It was found that in the studied premises, the total microbial count varied from 756 ± 0.8 CFU / 1m3 to 6497 ± 3.4 CFU / 1m3. In most medical institutions, the level of artificial lighting in the workplaces of medical workers was insufficient. The largest negative contribution was provided by such production factors as: labor intensity and intensity - 26.41%; physical: noise, vibration, non-ionizing and ionizing radiation - 25.32%; chemical - 12.77%. The total contribution of the main factors was 91.78%. Assessment of working conditions is based on hygienic criteria to assess the degree of deviations of the parameters of the production environment and labor process from the current hygienic standards, as well as after analysis and processing of data submitted by employees in the format of their questionnaires. In this regard, the distribution of harmful production factors and their degree of impact on the health of medical personnel was established with the help of multifactor analysis. Conclusions. Thus, the research interprets the results, which clearly in the format of a specific percentage, identify those factors that have a strong driving impact on the health of dental professionals. The most substantiated are such production factors as: chemical (exposure to drugs and chemicals), physical (noise and vibration, non-ionizing and ionizing radiation), the severity and intensity of the labor process, lighting (non-compliance with regulations for artificial lighting in the workplace) and microclimate and biological (work with biological, potentially contaminated material, samples, patients), non-ionizing and ionizing radiation, labor intensity (tension of the visual organs).

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