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.

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.

scholarly journals Assessment of labor conditions of working drilling units for oil production

2021 ◽  
Vol 65 (1) ◽  
pp. 50-53
Author(s):  
Natalya I. Nikolaeva ◽  
Andrey S. Filin ◽  
Glafira S. Dikaya
Keyword(s):  
Working Conditions ◽  
Oil Production ◽  
Operating Conditions ◽  
Occupational Risk ◽  
Production Environment ◽  
Drilling Rig ◽  
Production Factors ◽  
Noise Vibration ◽  
Special Assessment ◽  
Medical Examinations

Introduction. During oil production, drillers are exposed to harmful occupation production factors: noise, vibration, the severity and intensity of work, microclimatic conditions, oil, and components. The purpose of the study was to conduct comprehensive investigations of working conditions and health status, to assess the occupational risk of drillers at an oil production enterprise. Material and methods. The work was carried out within the framework of the special assessment of working conditions carried out according to the plan. The influence of occupational factors of the production environment on workers’ health was assessed by indices of occupational morbidity and the results of periodic medical examinations of drillers servicing the drilling rig for oil production driller 5000.320 ERO for the period 2013-2018. Results. Analysis of the measured parameters of harmful occupation factors indicates noise, vibration, and psychophysiological indices to be the leading indices of working conditions that affect the employees’ health. The general assessment of employees’ working conditions corresponds to the class- 3.3 (harmful), the category of occupational risk - high (unbearable). The source of harmful effects on workers is the equipment of the drilling rig 5000.320 ERO. Analysis of medical documents drillers over 5 years revealed a link between working conditions and the development of occupational diseases (vibration disease, sensorineural hearing loss); between operating conditions and the development of career-related diseases: musculoskeletal system (arthrosis, arthritis, osteochondrosis, etc.); the peripheral nervous system (radiculitis, plexitis, polyneuritis, etc.); diseases of the respiratory system (bronchitis, pneumonia, asthma, and respiratory diseases, etc.). Conclusion. To prevent the negative impact of harmful production factors at the enterprise it is necessary to provide many preventive measures: automation, mechanization, sealing of equipment, employees have to be equipped with personal protective equipment, improving the quality of preliminary and periodic medical examinations.

scholarly journals Occupational health risk management system for greenhouse vegetable growers

2021 ◽  
Vol 100 (5) ◽  
pp. 457-463
Author(s):  
Tamara A. Novikova ◽  
Galina A. Bezrukova ◽  
Anna G. Migacheva ◽  
Vladimir F. Spirin
Keyword(s):  
Occupational Health ◽  
Working Conditions ◽  
Health Risks ◽  
Preventive Measures ◽  
Circulatory System ◽  
Lumbosacral Spine ◽  
Occupational Factors ◽  
Greenhouse Vegetable ◽  
Greenhouse Growers ◽  
The Impact

Introduction. Prevention of chronic general somatic diseases associated with exposure to harmful working conditions is one of the primary measures to preserve the health of the working population and labor resources of the Russian Federation. However, insufficient attention is paid to the management of occupational health risks of agricultural workers, including greenhouse vegetable growers. Materials and methods. Hygienic and epidemiological studies were carried out based on the methodology for assessing and managing occupational health risks. Results. A complex of harmful occupational factors, including high temperatures and humidity, harmful chemicals, including pesticides, plant dust, and the labor process’s severity simultaneously affect working greenhouse growers. Working conditions were assessed as harmful (classes 3.2-3.3) of occupational risk categories from medium to high. Direct statistically significant correlations were established between the length of occupational service and diseases of the respiratory system, circulatory system, musculoskeletal system, and connective tissue (respectively r = 0.58; r = 0.6; r = 0.35). A high degree of causal relationship with the work in harmful occupational conditions of arterial hypertension (RR = 2.805; EF = 64.35%; CI = 1.498-5.253), radiculopathy of the lumbosacral spine (RR = 2.290; EF = 56%; CI = 1.140- 4.599), an average degree of uterine fibroids (RR = 1.969; EF = 49%; CI = 0.988-3.926) and chronic bronchitis (RR = 1.532; EF = 34.7%; CI = 0.682-3.442), which allows classifying them as occupationally conditioned. The system of preventive measures to minimize occupational risks and prevent occupational diseases has been scientifically substantiated. Conclusion. Current working conditions of greenhouse vegetable growers are characterized by the impact of harmful occupational factors promoting occupationally caused diseases, which requires the implementation of a set of preventive measures based on a risk-oriented approach.

scholarly journals Analysis and Risk Assessment of the Working Conditions of a Steam Turbine Operator

2001 ◽  
Vol 14 (5) ◽  
pp. 520-537
Author(s):  
Irina V. Andrunyak ◽  
Keyword(s):  
Risk Assessment ◽  
Hearing Loss ◽  
Steam Turbine ◽  
Working Conditions ◽  
Human Body ◽  
Risk Taking ◽  
Main Factors ◽  
Special Assessment ◽  
The Impact ◽  
Negative Factors

The article analyzes the negative factors of a steam turbine operator of the 5th category using the example of the Krasnoyarsk CHP. The main factors determining the working conditions are reflected. Based on the results of a special assessment of working conditions classes (subclasses) of conditions for a steam turbine operator have been identified. The definitions and the procedure for assessing occupational risk, taking into account injuriesin hazardous areas, have been formulated, on the basis of which a tree of events of the occurrence of accidents has been built. The calculation of risk assessment of working conditions, where the main harmful factor is the impact of noise on the human body and the resulting hearing loss is proposed

scholarly journals The main directions of prevention of noise pathology in the Armed Forces

2018 ◽  
Vol 20 (3) ◽  
pp. 26-32
Author(s):  
V V Dvoryanchikov ◽  
I M Akhmetzyanov ◽  
I V Mironov ◽  
E K Gavrilov ◽  
V N Zinkin ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Working Conditions ◽  
Military Personnel ◽  
Armed Forces ◽  
Production Factor ◽  
Important Place ◽  
Low Efficiency ◽  
Special Assessment ◽  
The Impact ◽  
Harmful Effects

In accordance with the existing Federal sanitary standards, noise and infrasound are considered to be an harmful production factor and in terms of their prevalence they occupy a leading place in the national economy. To prevent the harmful effects of noise and infrasound on the health of members of the armed forces establishes the main lines. For prognostic assessment of harmful influence of production factors on production facilities and transport the special assessment of working conditions is carried out without fail. Hygienic research of workplaces has shown that noise and infra-sound levels correspond to harmful and dangerous classes, that is, risks of professional pathology of acoustic Genesis are created. The presence of acoustic sources in the Armed forces requires constant monitoring of them, the annual special assessment of working conditions development of preventive measures. The impact of noise and infra-sound leads to a decrease in military and professional performance and an increase in General and professional morbidity. The leading place in the structure of morbidity of noise etiology is a sensorineural hearing loss. This requires further improvement of the provision of specialized assistance to military personnel in the presence of noise hearing loss. In the current regulations of the military medical services noise and infrasound are not identified as a harmful factor, and therefore not fully developed the issues of professional selection, monitoring and medical examination of noise pathology. An important place in the system of prevention of harmful effects of noise is given to the means especially individual of protection against noise. Their absence and low efficiency pose a threat to the acoustic safety of military personnel. Provision of personnel with means of individual protection against noise and control of the correctness of their operation are the most relevant measures to reduce the noise pathology of the hearing organ. The existing system of measures to combat the harmful effects of noise in the Armed forces requires revision in accordance with the existing state legislative and legal framework.

scholarly journals Condições de trabalho de enfermagem e adoecimento: motivos para a redução da jornada de trabalho para 30 horas

2012 ◽  
Vol 3 (4) ◽  
pp. 178-181 ◽  
Author(s):  
Vanda Elisa Andres Felli
Keyword(s):  
Quality Of Care ◽  
Occupational Health ◽  
Working Conditions ◽  
Working Condition ◽  
Work Hours ◽  
Work Absenteeism ◽  
Absence From Work ◽  
The Impact ◽  
Reflexive Analysis

O texto tem por objetivo fazer uma análise reflexiva sobre as condições de trabalho e adoecimento dos trabalhadores de enfermagem, determinadas por jornadas superiores a 30 horas. Partindo da análise do contexto do trabalho de enfermagem, o texto analisa as condições de trabalho e as suas implicações no adoecimento dos trabalhadores. Traz como consequências a diminuição da capacidade para o trabalho, o absenteísmo, a elevação de custos dos afastamentos, o impacto sobre o perfil de morbi-mortalidade dos trabalhadores e as implicações sobre a qualidade da assistência. Conclui-se que é necessário controlar a insalubridade, a periculosidade e a penosidade desse trabalho.Descritores: Enfermagem, Saúde do Trabalhador, Condições de Trabalho, Jornada de Trabalho, Morbidade.Nursing working condition and sickness: reasons why to reduce the work journey to 30 hoursThe text aims to do a reflexive analysis about the working conditions and sickness of nursing workers, determined for journeys exceeding 30 hours. Based on the analysis of the context of nursing work, the text examines the working conditions and their implications in illness among workers. Also, the text brings as consequences the decreased capacity to work, absenteeism, higher costs of absence from work, the impact on morbidity and mortality profile of workers and the implications on the quality of care. It is concluded that it is necessary to control the insalubrity, dangerousness and painfulness of this work.Descriptors: Nursing, Occupational Health, Working Conditions, Work Hours, Morbidity.Condiciones de trabajo de enfermería y enfermedad: motivos para la reducción de jornada para trabajar 30 horasEl texto tiene como objetivo analizar reflexivamente sobre las condiciones de trabajo y enfermedades de los trabajadores de enfermería, determinado por turnos que excedan 30 horas. Con base en el análisis del contexto del trabajo de enfermería, el texto analiza las condiciones de trabajo y sus implicaciones en la enfermedad entre los trabajadores. Trae consecuencias como la disminución de la capacidad de trabajo, ausentismo, costos más altos de las ausencias, el impacto en lo perfil de morbilidad y mortalidad de los trabajadores y las implicaciones en la calidad de la atención. Se concluye que es necesario controlar la insalubridad, peligrosidad y doloroso trabajo.Descriptores: Enfermería, Salud del Trabajador, Condiciones de Trabajo, Día de Trabajo, Morbidad.

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;

Working conditions and occupational pathology of Kola Polar miners

2020 ◽  
pp. 456-461
Author(s):  
S. A. Syurin ◽  
S. A. Gorbanev
Keyword(s):  
Working Conditions ◽  
Polar Region ◽  
Objective Assessment ◽  
Mining Industry ◽  
Copper Nickel ◽  
Increased Risk ◽  
Murmansk Region ◽  
Special Assessment ◽  
Medical Examinations

Introduction. Despite the improvement of mining technologies and personal protective equipment for employees, working conditions in the mining industry create an increased risk of occupational diseases.The aim of the study is to compare the working conditions and features of professional pathology of miners in the production of iron, apatite and copper — nickel ore in the Kola Polar region.Materials and methods. The data of social and hygienic monitoring on the section “Working conditions and occupational morbidity” of the population of the Murmansk region in 2007–2017 were studied.Results. It was found that in 2007–2017, there was no significant improvement in the working conditions of the studied groups of employees of mining enterprises. The structure of professional pathology of miners was still dominated by vibration disease (37.0%), radiculopathy (23.8%), mono-polyneuropathy (15.5%), sensorineural hearing loss (15.5%), and among the etiologically significant harmful industrial factors — the severity of labor (54.1%), general vibration (23.8%) and noise (13.1%). During the observation period, occupational morbidity in the mining of iron and copper-nickel ore decreased significantly, while in the mining of apatite ore it tended to increase. There is no causal relationship between changes in working conditions and the level of occupational morbidity of miners.Conclusions. It is necessary to improve the quality of hygienic and clinical research when conducting a special assessment of working conditions and periodic medical examinations to obtain an objective assessment of occupational health risks for miners in the Kola Polar region.

Substantiation of the value of dermatoscopy methods for medical examinations in patients working with carcinogens

2020 ◽  
Vol 60 (11) ◽  
pp. 760-762
Author(s):  
A. V. Derevnina ◽  
S. A. Avagyan
Keyword(s):  
Work Experience ◽  
Digital Camera ◽  
Skin Neoplasms ◽  
Diagnostic Methods ◽  
Skin Tumor ◽  
Professional Activity ◽  
Malignant Neoplasms ◽  
Epithelial Neoplasms ◽  
Special Assessment ◽  
Medical Examinations

Introduction. Industrial carcinogens are one of the causes leading to malignancy of epithelial neoplasms of the skin. The aim of study to assess the importance of conducting dermatoscopic research methods during periodic medical examinations of workers with industrial carcinogens. Materials and methods. 108 employees of the enterprise of Moscow were examined at periodic medical examinations of KPO FSBSI Izmerov Research Institute of Occupational Health. According to the special assessment of working conditions for harmful factors and types of work, a contingent of 60 people who had contact with industrial carcinogens and 48 people who did not have contact with industrial factors was identified. A complex of clinical-anamnestic and diagnostic methods was performed. Clinical research-interview of the patient, study of the patient's medical history, complaints, heredity, Constitution, professional activity, skin type and harmful effects; duration of existence and dynamics of changes in the size of the neoplasm. Visual examination of the patient's skin under natural and side lighting using a magnifying glass with 7x magnification. Physical examination of the primary skin tumor: the shape, color, size, and boundaries of the neoplasm were preliminarily evaluated. Epiluminescent surface microscopy (dermatoscopy) of each suspected pigmented neoplasm was performed using a Heine Delta 20 Dermatoscope (Heine Optotechnik, Germany). During dermatoscopy, in order to make the surface layers of the skin more transparent, oil was applied to the surface of the neoplasm. Digital photos during dermatoscopy were taken using a Nikon D 3100 18-55 II Kit digital camera, which was connected to the Dermatoscope by a Nikon UR-E15 adapter ring. Industrial carcinogens are one of the causes leading to malignancy of epithelial neoplasms of the skin. Results. According to the results of the study in a group of patients, it was found that workers who had contact with industrial carcinogens, epithelial skin neoplasms were much more common and more common at a young age (from 18 to 39 years), compared with patients who did not have contact with carcinogens at work. It was also revealed that epithelial neoplasms of the skin are most often diagnosed with longer work experience. It is noted that in patients who have contact with industrial carcinogens, even with work experience of up to 10 years, epithelial skin neoplasms are more often detected. Conclusions. There are good reasons to believe that exposure to industrial carcinogenic factors significantly increases the risk of developing skin neoplasms. The use of dermatoscopic diagnostic methods will allow timely detection of benign skin neoplasms in persons who have contact with industrial carcinogens during preventive medical examinations and thereby reduce the risk of malignant neoplasms.

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