METHODOLOGICAL APPROACHES TO THE EARLY DIAGNOSIS OF CARDIOVASCULAR PATHOLOGY IN WORKERS IN HARMFUL WORKING CONDITIONS

Author(s):  
I.A. Umnyagina

Abstract. The aim of the study is to assess the informativeness of a number of clinical, functional, laboratory parameters as indicators of cardiovascular pathology in workers exposed to harmful industrial factors during mandatory periodic medical examinations, to identify some pathogenetic mechanisms of the formation of the risk of cardiovascular diseases (CVD). The experienced workers (n=310) of the metallurgical enterprise of the Nizhny Novgorod region were examined. The sphygmometry indicators, the content of endothelin-1, nitric oxide, lipid profile, ox-LDL, and the levels of IgG-class autoantibodies (aAT) to the antigens of the myocardial and vascular wall structures were evaluated in addition to regulated researches. The complex approach made it possible to more fully identify violations of the cardiovascular system, and elucidate some of the pathogenetic mechanisms of CVD development in workers in hazardous working conditions.

Author(s):  
V.V. Troshin ◽  
V.D. Fedotov

On basis of approbation of volume sphygmography method in group of 89 workers underwent periodical medical examinations, analysis of modern scientific literature, and experience of clinical department of FBSI «Nizhny Novgorod research institute for hygiene and occupational pathology» to conduct medical examinations of workers exposed to hazardous and dangerous working conditions; the authors demonstrated informativeness and non-high laboriousness of volume sphygmography method for revealing of an increased vascular wall hardness as a risk factor for of cardio-vascular pathology.


The goal of the work was to study the working conditions, dynamics and structure of occupational morbidity in the Belgorod Region throughout 2014–2016. The analysis was carried out on the basis of the data from the Offi ce of the Federal Service on Supervision in the sphere of consumer rights protection and human well-being in the Belgorod region, data of the Belgorod Regional Center for Communicational Pathology. There was registered an annual increase in the number of people whose working conditions are the main cause of professional diseases having a signifi cant impact on their professional health and, accordingly, on the level of occupational morbidity. Professional morbidity for the past 3 years remained in the range of 1,74-1,47 cases per 10 000 workers in the Russian Federation and 0,86-1,5 in the Belgorod region. In the structure of occupational pathology diseases caused by physical factors prevail. The second place is taken by the diseases associated with exposure to physical overloads, and the third place is taken by the diseases from the eff ects of the chemical factor, industrial aerosols. The level of registered chronic occupational morbidity does not refl ect the real situation associated with the state of working conditions at the workplace. It is also necessary to note the unsatisfactory quality of periodic medical examinations and failures to reveal initial signs of occupational diseases. The majority of identifi ed occupational diseases have chronic forms in long-term employees (35-40 years old) and in the age group over 50 years. A complex approach to the goals to preserve the health of workers, taking into account the interdepartmental regulation of the system of measures, will ensure the preservation of labor potential, increase labor longevity, reduce the overall and occupational morbidity.


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.


2018 ◽  
Vol 28 (1) ◽  
pp. 265-272
Author(s):  
Venelin Terziev ◽  
Preslava Dimitrova

The social policy of a country is a set of specific activities aimed at regulating the social relations between different in their social status subjects. This approach to clarifying social policy is also called functional and essentially addresses social policy as an activity to regulate the relationship of equality or inequality in society. It provides an opportunity to look for inequalities in the economic positions of individuals in relation to ownership, labor and working conditions, distribution of income and consumption, social security and health, to look for the sources of these inequalities and their social justification or undue application.The modern state takes on social functions that seek to regulate imbalances, to protect weak social positions and prevent the disintegration of the social system. It regulates the processes in society by harmonizing interests and opposing marginalization. Every modern country develops social activities that reflect the specifics of a particular society, correspond to its economic, political and cultural status. They are the result of political decisions aimed at directing and regulating the process of adaptation of the national society to the transformations of the market environment. Social policy is at the heart of the development and governance of each country. Despite the fact that too many factors and problems affect it, it largely determines the physical and mental state of the population as well as the relationships and interrelationships between people. On the other hand, social policy allows for a more global study and solving of vital social problems of civil society. On the basis of the programs and actions of political parties and state bodies, the guidelines for the development of society are outlined. Social policy should be seen as an activity to regulate the relationship of equality or inequality between different individuals and social groups in society. Its importance is determined by the possibility of establishing on the basis of the complex approach: the economic positions of the different social groups and individuals, by determining the differences between them in terms of income, consumption, working conditions, health, etc .; to explain the causes of inequality; to look for concrete and specific measures to overcome the emerging social disparities.


Author(s):  
G.S. Agzamova ◽  
◽  
N.U. Ibragimova ◽  
Yu.A. Abdieva ◽  

Abstract: Protecting and promoting the health of workers in the mining industry is one of the most important problems of occupational pathology and health care. The structure and levels of prevention of occupational diseases are directly dependent on harmful and adverse factors of the production environment and labor process, adequately reflecting the state of production. Purpose: to study the issues of prevention of occupational and production-related diseases of mining and metallurgical plant workers. Research materials and methods: a dynamic observation of the health status of workers in the main industries of the mining and metallurgical plant (800 workers) was carried out. 92 patients with silicosis were examined. Results: Up to 92.8% of first-time occupational diseases are detected during periodic medical examinations. The prevailing sociomatic pathology is cardiovascular pathology, namely, arterial hypertension and diseases of the musculoskeletal system, mainly osteochondrosis of the spine. Prevalence of silicosis was observed in individuals with little professional experience (from 5 years old), young age and primary detection of patients in stage II silicosis, which was accompanied by respiratory failure. Conclusions: The prevention programme developed will ensure a high level of health care in terms of early diagnosis, rehabilitation and secondary prevention of both occupational and occupational diseases.


Cardio-IT ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Margarita A. Simonyan ◽  
Olga M. Posnenkova ◽  
Anton R. Kiselev

Currently, vegetative dysfunction considered to be one of principal mechanisms in the pathogenesis of cardiovascular pathology, which causes a cascade of events leading to changes in the properties and a structure of vascular wall. This review article contains literature from various databases (Russian science citation index, PubMed, Google Shcolar, Scopus). It presents the methods for assessing vegetative imbalance. In particular, the method of photoplethysmography (PPGV) is considered for recording periodic fluctuations at various frequencies in the distal vascular bed which characterize physiological processes (cardiac activity, respiratory influences, neurogenic, myogenic and endothelial activity). In addition, other diagnostic capabilities of PPGV such as heart rate (HR) assessment, determining the properties of vascular wall and the level of blood saturation are elucidated. This paper demonstrates a wide range of PPGV applications. The simplicity of PPGV reproduction and its cost-effectiveness make it feasible both in routine clinical practice for the purposes of screening for cardiovascular pathology, and for individual health monitoring incorporated in smart devices.


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.


2020 ◽  
Vol 157 ◽  
pp. 04026 ◽  
Author(s):  
Aleksandr Birjukov ◽  
Evgeniy Dobryshkin ◽  
Yurii Birjukov ◽  
Vladimir Tishchenko

Effective production activities of organizations is impossible without the concept implementation of the constant reproduction of capital assets, a significant part of which is represented by buildings and structures for various functional purposes. Increased deterioration of industrial buildings does not allow to solve such important tasks as improvement and automation of production processes in their entirety, and has a negative impact on the working conditions and safety of personnel. The analysis of scientific and normative literature is showed that the issue under consideration requires further research. Author’s approach to the reproduction of capital assets, the use of which allows to increase the management decisions efficiency on the basis of a complex of tasks for the joint estimation of damage and deterioration, planning of works under the given constraints with the use of mathematical apparatus and technological solutions for monitoring the technical condition of buildings is presented in the article.


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