Risks of health disorders in pedagogical, medical workers and preventive measures

Author(s):  
Evgeniy A. Bayimakov ◽  
Irena A. Mishkich ◽  
Olga I. Yushkova ◽  
Anna V. Zajtseva ◽  
Khristina T. Oniani ◽  
...  

The formation of a healthy lifestyle and a healthy lifestyle in the work of various activities, developing a program that includes appropriate measures to correct the functional state of employees of nervous and emotional labor, is currently one of the essential areas of occupational health. The study aims to assess the prevalence of behavioral risk factors for health disorders and the effectiveness of measures to correct overstrain in pedagogical and medical workers, depending on the personal level of anxiety. The researchers conducted comprehensive physiological and hygienic studies. We described behavioral risk factors, awareness of health-saving issues based on a questionnaire (346 teachers), a professional graphical assessment of the intensity of efforts. Psychophysical studies help to study the states of various functions of the central nervous system and the cardiovascular system, psychological testing, and general physical performance (GPP) according to the RWC170 test when evaluating the implemented model of motor activity and assess the effectiveness of relaxation in the shungite room. We performed static processing of the data obtained using statistical programs EpiInfo 3.5.2., Statistica 10, Microsoft Excel 2010 using adequate methods of statistical analysis. The study of the prevalence of the factors risky cheek of life for the health of teachers revealed insufficient physical activity (61.1% (95% CI 54.7-67.2)), inadequate sleep duration (46.1% (95% CI 40.0-52.4)), eating disorders (16.2% (95% CI 11.9-21.5)) tobacco smoking (15.8% (95% CI 11.5-20.9)). The developed and implemented regime, which increases the volume of motor activity to 8-9 hours a week instead of 3-4 hours, contributed to an increase in resistance to stress effects, a decrease in the percentage of identified teachers with a low level of physical fitness. A high degree of nervous and emotional tension in the work of general practitioners, the possibility of infection with COVID-19 leads to the formation of a high level of anxiety in a significant part (63.7-72.2%) of medical workers, which indicates the purposefulness of a psychological correction measure. The conducted production studies have shown the usefulness of using in programs for correcting the functional conformity of pedagogical and medical workers, an increase in motor activity using physical culture and sports, and relaxation in the shungite room.

Author(s):  
Elena A. Zhidkova ◽  
Ekaterina M. Gutor ◽  
Mikhail F. Vilk ◽  
Vera B. Pankova ◽  
Gennadij G. Onishchenko ◽  
...  

Preserving the working longevity of locomotive crew employees is one of the priority tasks of Russian Railways. The urgency of the problem is related to both the medical aspects of railway traffic safety and the importance of preserving human capital. The aim of study is to research the influence of occupational and behavioral risk factors on health disorders in drivers and their assistants. The study included the results of a survey of 9308 employees of locomotive crews on the presence of production and behavioral risk factors for health disorders, as well as on the presence of cases of temporary disability, hospitalization or unscheduled medical care in the previous year. Additionally, the results of clinical and laboratory studies were studied. Noise exposure is the main production factor affecting the unscheduled attendance of locomotive crew employees to the doctor, the number of cases of temporary disability and hospitalization. Only 13% of respondents have a high level of commitment to a healthy lifestyle. Among employees who are not exposed to industrial noise, the number of people who have a high commitment to a healthy lifestyle is 2 times higher than among those who complain about the presence of an acoustic factor. The main differences in adherence to a healthy lifestyle between people who have and do not have complaints about the negative impact of the sound factor are related to alcohol abuse (1.4 times more often used by people working in conditions of noise exposure), frequent use of semi-finished products and fatty foods (1.2 times more often). Among people exposed to industrial noise, a body mass index (BMI) exceeding 25 kg/m2 is 1.5 times more common than in people who do not have noise exposure. The frequency of occurrence of blood pressure is more than 130/80 mm Hg. and blood cholesterol more than 5 mmol/l, respectively, is 1.9 and 2.2 times higher in individuals with intra-cab acoustic load, compared with those without. An increase in the number of cases of temporary disability, hospitalization, and unscheduled visits to a doctor in people who report exposure to noise in the driver's cab may be associated with both occupational and behavioral factors: alcohol consumption, poor nutrition, and a high proportion of people with a BMI exceeding 25 kg/m2.


The article considers the demographic and epidemiological grounds for evolutionary transition from the economics of medical care to the public health economics; the methodology for the formation of an effective strategy of public health promotion in Russia; the modern concepts of the economy of public health; and data, calculated on this basis, such as the Human Capital Development Index, Human Development Index and the ratings of the Russian Federation in these international indices. The analysis of models of public health and the most important factors, determining the health of population (lifestyle, heredity, ecology, medicine) were presented. Also, the most significant risk factors of mortality of the Russian Federation population were considered, among which the behavioral risk factors, associated with the way of life of population, were defined. On this basis, the strategy for reduction of behavioral risk factors and for promotion of healthy lifestyle of population was formulated. The analysis of the features of State Program of the Russian Federation "Health Development" for 2013-2020, and the new program, having the same name, was carried out. These programs are connected with the development of prevention and the formation of healthy lifestyle of population (HLS) in the country. In addition, the regional targeted programs for the prevention of diseases, the formation of healthy lifestyle, and their social results were studied. The effectiveness of a comprehensive intersectoral approach to the formation of healthy lifestyle of population in the regions of Russia in modern conditions was substantiated.


2020 ◽  
Vol 11 (4) ◽  
pp. 107-112
Author(s):  
N. I. Latyshevskaya ◽  
V. V. Mirochnik ◽  
L. A. Davydenko

Objective: to evaluate the behavioral risk factors of the workers of the primary oil refining workshop with the aim of using them as a tool for substantiating management decisions and forming vectors of preventive measures.Materials and methods: the method of active survey investigated the prevalence of behavioral risk factors among operators in two age groups (20 – 35 and 36 – 60 years old).Results: the main vectors of behavioral risks for operators of different age groups were established: lack of motor activity, smoking, low medical activity, low perception of behavioral risks. Violations of lifestyle are predominantly combined (violations by 2 – 4 indicators). For older operators are more characterized by low motor and medical activity, disturbances in diet, an overestimation of the degree of influence of environmental and occupational factors on health when the significance of individual behavior is underestimated.Conclusions: Social policy at the enterprise should take into account the main vectors of behavioral risks, lower motivation and the implementation of a healthy style of behavior typical of older workers. 


Author(s):  
G.Z. Moroz ◽  
I.M. Hydzynska ◽  
T.S. Lasitsya

Background. Poor adherence to risk factor behaviors management increases the risk for a further cardiac event. Unfortunately, poor adherence to behaviors recommended in lifestyle interventions is widespread, particularly over the long-term; thus, the “adherence problem” represents a significant challenge to the effectiveness of these interventionsObjective: The goal of the trial was the assessment of patient’s and physician’s attitude to a healthy lifestyle and evaluation of their stage of readiness for change in dealing with unhealthy behavior with the goal of cardiovascular disease risk factors modification particularly smoking cessation, physical activity, healthy dietMethods: We performed a poll of 158 patients who visited the outpatient clinic of the State Institution of Sciences “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department with the purpose of preventive services and of 65 physicians – employees of our clinic – about their adherence to healthy lifestyle habits. As the determination of the readiness to deal with an unhealthy behavior allows making individualized preventive counseling, we used a special questionnaire for standardizing approaches to determining the stage of change of three major behavioral risk factors of cardiovascular diseases – smoking, unhealthy diet, and low level of physical activity. The readiness to change was identified according to the Transtheoretical Model (TTM) of Behavior Change. The results of physicians questionnaire (n=65) were compared to the results of patients questionnaire (n=158). Results. Most of the participants – 87,3±2,6 % of patients and 93,6±3,1 % of physicians – were non-smokers. Only 26,6±3,5 % of patients and 20,6±5,1 % of physicians reported following a healthful diet and only 8,9±2,3% of patients and 20,6±5,1 % of physicians perform regular physical activity. The prevalence of optimal level of physical activity among physicians was significantly higher (p<0,05). 72,5± 6,3 % of physicians were on action stage in the matter of healthy diet and 74±6,2 % – in the matter of physical activity regimen, it was significantly higher (р < 0,05) that among patients – 45,7±4,6 % and 41,0±4,1% respectively. Conclusions: Our findings highlight poor adherence to healthy lifestyle habits among physicians and patients, especially in the matter of healthy eating and optimal level of physical activity, and needs for targeted strategies that improve long-term adherence to health behaviors and enhance physician’s knowledge about lifestyle-based health promotion interventions.


2019 ◽  
Vol 95 (5) ◽  
pp. 466-470 ◽  
Author(s):  
Nataliya B. Mirskaya ◽  
A. D. Sinyakina ◽  
A. N. Kolomenskaya

Purpose. Study of the lifestyle and identification of behavioral risk factors negatively affecting on the state of the visual organ in primary school children. Patients and methods. There was performed a questionnaire survey of parents of 384 younger schoolchildren in Moscow. Questionnaire specially designed by authors included questions relating to lifestyle and behavioral risk factors that affect vision. Results. More than 46% of the younger schoolchildren in the mode of the day have no daily walks in the fresh air, including during daylight hours in 51.6%; time daily needed for this age on air is spent by only 32.8% of schoolchildren. Among younger schoolchildren every day 57.2%, 44.8% and 39.5% spend longer time than needed for homework, TV and computer correspondingly; all the time only 9.4% keepproperfit at their desk, 15.6% at the computer, 20.8% - when watch television; 40.6% do not constantly comply with the requirements for proper illumination while watching TV; 45.8% sometimes read in lyingposition , 9.9% - in transport. Conclusion. Identified in junior schoolchildren of the city of Moscow a high prevalence of behavioral risk factors that negatively affect their visual organ and health in general, requires the elimination of these factors by means of hygienic education and shaping a healthy lifestyle in schoolchildren since 1st grade.


2021 ◽  
Vol 26 (3S) ◽  
pp. 4278
Author(s):  
V. S. Chulkov ◽  
E. S. Gavrilova ◽  
Vl. S. Chulkov ◽  
E. D. Pankova ◽  
E. A. Lenets ◽  
...  

Public health strategies for the detection, prevention and treatment of cardiovascular diseases (CVDs) can be implemented at many levels as follows: from individual behavioral alterations to population-based strategies that affect different national and cultural communities. Despite the fact that the priority of primary prevention is treating hypertension and hyperlipidemia, great importance is given to improving behavioral and biological risk factors. Dietary modification, exercise and smoking cessation are specific interventions that can be targeted to reduce CVD risk at both the individual and population levels. Following a healthy lifestyle can potentially change factors such as overweight/obesity, hyperlipidemia, type 2 diabetes, and hypertension. The aim of this review was to present and summarize new data on the primary cardiovascular prevention with a focus on improving behavioral risk factors considered in the current guidelines.


Author(s):  
S.B. Sokolova

The article contains data on the prevalence of the health behavioral risk factors of Moscow schoolchildren of 7–8 and 10–11 grades. The unfavorable factors in relation to health are revealed: high level of school load, unhealthy food, lack of physical activity, consumption of psychoactive substances, aggressive be-havior. There are presented their gender and age differences. Practical preventive measures to reduce the risk of health disorders are proposed.


2020 ◽  
Vol 19 (5) ◽  
pp. 2670
Author(s):  
S. E. Evstifeeva ◽  
A. V. Kapustina ◽  
E. L. Nikonov ◽  
A. N. Dotsenko ◽  
E. V. Prokhorenko ◽  
...  

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