Remote automated medical examinations system before admission to work: the experience of Air Liquide

2020 ◽  
pp. 65-70
Author(s):  
A. Skachkov
Keyword(s):  
The Body ◽  
Medical Examination ◽  
Significant Time ◽  
Time Costs ◽  
Medical Examinations

To identify the influence of various factors on the body of drivers, a regular medical examination is carried out before the trip. Meanwhile, during its conduct, there are problems that consist in significant time costs, lack of necessary equipment, difficulties in conducting examinations at night and on weekends, etc. According to the author, many of these can be solved by creating special remote automated medical examination systems. The article offers solutions implemented by Air Liquide, as well as the results of the analysis of the obtained statistics.

DEVELOPMENT OF THE UKRAINIAN FORENSIC MEDICAL INSTITUTIONS IN THE ХХ CENTURY

2017 ◽  
Vol 17 ◽  
pp. 446-456
Author(s):  
V. V. Yusupov
Keyword(s):  
Forensic Medicine ◽  
Medical Examination ◽  
Public Health Care ◽  
Biological Research ◽  
The Public ◽  
Medical Institutions ◽  
Forensic Institutions ◽  
Post War ◽  
Medical Examinations ◽  
The Chairs

The issue of development of forensic institutions of Ukraine in the ХХ century was studied. Until 1917, forensic medical examinations were conducted in the medical compartments of the provincial administrations, at the departments of forensic medicine of universities and in hospitals - by police doctors. The chairs of forensic medicine existed in the St. Vladimir Kyiv University, Kharkiv, Novorosiisk and Lviv Universities. Real organization of Ukrainian forensic medical institutions began in 1919 with the creation of the Medical Examination Department at the People’s Commissariat of Health. In 1923, the Main forensic medical inspection, headed by M. S. Bokarius, was founded. In the provinces the positions of forensic medical inspectors were created. In 1927 the sections of biological research were established in the Kharkiv, Kyiv and Odesa institutes of scientific andforensic expertise,where separate forensic examinations were conducted. In 1949 the institutions of forensic medical examination of the USSR were merged into the Bureau of Forensic Medical Examination, in Ukraine it was held in 1951. It was proved that forensic medical institutions developed at the following chronological stages: 1) until 1917 - forensic medical service in the Ministry of Internal Affairs; 2) 1917-1941 - prewar formation of forensic medical institutions; 3) 1941-1949 -forensic medical institutions during the war and in the first post-war years; 4) 1949-1990s - period of development of the bureau of forensic medical examinations of the countries of the USSR; 5) since the 1990s - development of expert institutions in the public health care system in independent postSoviet states. It’s stressed that formation of the forensic institutions in Ukraine is closely related with the development of forensic medicine departments of higher educational establishments. Forensic medicine departments were the basisfor practicalforensic medicine, professors provided daily assistance to forensic medical experts.

Morphometric and genetic studies of the mechanisms of damage to the cardiovascular system in Kuzbass miners with dust lung pathology

2021 ◽  
Vol 61 (9) ◽  
pp. 611-619
Author(s):  
Anastasiya S. Kazitskaya ◽  
Oleg I. Bondarev ◽  
Maria S. Bugaeva ◽  
Anna G. Zhukova ◽  
Tatyana K. Yadykina
Keyword(s):  
Russian Federation ◽  
Work Experience ◽  
The Body ◽  
Lung Pathology ◽  
Federal Law ◽  
Autopsy Material ◽  
Ministry Of Health ◽  
Genetic Studies ◽  
The Russian Federation ◽  
Medical Examinations

Introduction. The combined impact of unfavorable factors of the production environment in miners leads to the development of associated pathology of the bronchopulmonary and cardiovascular systems, the predisposition to which depends on the individual susceptibility of the body. In this regard, it is important to comprehensively study the pathogenetic mechanisms underlying the formation and course of occupational and work-related diseases for a personalized approach to the diagnosis, prevention and therapy of this pathology. The purpose of this study was to study the mechanisms of damage to the cardiovascular system in miners with dust lung pathology on the basis of morphological and genetic studies. Materials and methods. For genetic studies, venous blood drawing was conducted in 190 Kuzbass miners. The main group included 126 miners of the main professions with the previously proven diagnosis "dust lung pathology", the comparison group consisted of 64 workers without a proven diagnosis working in similar sanitary and hygienic conditions. Morphometric studies were carried out using autopsy material obtained during 80 forensic medical examinations of miners in the Kemerovo region. All the miners were divided into 4 groups depending on their underground work experience. The control group was formed from 20 cases of forensic medical examinations of men who died in road accidents and did not have organ pathology according to the results of autopsies. Results. The study of the autopsy material revealed the presence of morphostructural changes in the vascular walls of the miners’ hearts in the form of hypertrophy of the smooth muscle cells of the medial layers, thickening of the endothelial lining, and the development of fibroplastic changes in the perivascular zones. These changes began to form from the first years of work in the underground conditions and progressed with increasing work experience contributing to the "recalibration" of the heart vessels with the formation of the lumen "obstruction". One of the mechanisms of endothelial damage in miners was a change in the expression of the EDN1 gene, which regulates the synthesis of endothelin-1. The risk and resistance genotypes of the development of dust lung pathology for the rs5370 polymorphism of the EDN1 gene were identified. Morphostructural rearrangement of the endothelium in the combination with its pathological activation contributed to the occurrence of endothelial dysfunction in miners. Conclusions. The conducted studies of the parameters of the vascular endothelium indicate its key role in the pathogenesis of bronchopulmonary and cardiovascular pathology in miners of the main professions. Getting into the body of workers, particles of coal-rock dust lead to morphostructural rearrangement of the cells of the endothelial layer and its pathological activation. The contribution of molecular and genetic mechanisms to the development of occupational lung pathology and associated diseases of the circulatory system in miners is revealed. Ethics. The studies were carried out in compliance with the ethical standards of the Bioethical Committee of the Research Institute for Complex Problems of Hygiene and Occupational Diseases, elaborated on the basis of the Helsinki Declaration of the World Medical Association "Ethical Principles for Conducting Human Scientific Medical Research" as amended in 2013 and the "Rules of Clinical Practice in the Russian Federation" approved by the Order of the Ministry of Health of the Russian Federation No. 266 dated 19.06.2003. All workers were informed about their participation in the molecular-genetic study and gave written consent to carry it out. The research of the dead miners was based on the secondary examination of blocks and ready-made histological micro-preparations of the material of the Bureau for Forensic Medical Expert Examination of the cities of Novokuznetsk, Osinniki, and Prokopyevsk. The study of pathomorphological material was carried out in accordance with the Federal Law of 21.11.2011, No. 323-FZ "On the Fundamentals of Health Protection of Citizens in the Russian Federation", in particular, with Article 67 "Carrying out pathological and anatomical autopsies", Federal Law of 12.01.1996, No. 8-FZ "On burial and funeral business" (Article 5, paragraphs 1, 2), as well as on the basis of the Order of the Ministry of Health of April 29, 1994, No. 82 "On the procedure for conducting pathological and anatomical autopsy" (Annex to the Order of the Ministry of Health and Medical Industry of 29.04.1994 No. 82), the Order of the Ministry of Health of Russia of 24.03.2016. No. 179n "On the rules for conducting pathological and anatomical examinations".

scholarly journals DETERMINATION OF THE FREQUENCY OF STAB-CUT DAMAGES OF INTERNAL ORGANS AND THE CONDITIONS OF THEIR CAUSES

2020 ◽  
Author(s):  
Aleksey A. Devyaterikov
Keyword(s):  
Statistical Study ◽  
The Body ◽  
Average Depth ◽  
Internal Organs ◽  
Medical Examinations

Aim. Determination of the frequency of stab-cut damages of internal organs and the conditions of their causes. Material and methods. The article presents the results of a retrospective statistical study of the conclusions of the forensic medical examinations of the corpses of the Khabarovsk State Forensic Bureau for the period from 2014-2018. Results. The frequency of injury with sharp objects, the most commonly damaged internal organs during stab-cut wounds and the average depth of the wound channels both in the body as a whole and separately for internal organs were established in the course of the study.

scholarly journals The implementation of tuberculosis examination of potential employment migrants in the country of departure: evaluation of possibilities

2019 ◽  
Vol 61 (1) ◽  
pp. 51-56
Author(s):  
Boris I. Sergeev ◽  
I. E. Kazanets
Keyword(s):  
Risk Groups ◽  
International Experience ◽  
Medical Examination ◽  
Reliability Of Results ◽  
Scientific Publications ◽  
Economic Significance ◽  
Medical Institutions ◽  
High Degree ◽  
Medical Examinations ◽  
Preventive Examination

The migration situation in Russia is characterized by presence of significant number of foreign citizens, including those who are working without official registration and evidence of examination for tuberculosis and other infections. In connection with that, attention is to be paid to propositions concerning organization of preventive examination for tuberculosis in the departure country i.e. medical examination of potential migrants according Russian standards on the basis of local medical institutions. The article presents review of data of official statistics concerning migration and prevalence of tuberculosis including scientific publications about analysis of international experience of organization and implementation of preventive examinations in the departure countries. The experience of implementation of medical examinations of migrants in number of departure countries demonstrates that these programs permit focusing efforts on diagnostic of tuberculosis in one of risk groups hence achieving comparatively high degree of reliability of results and providing economic significance. In the context of conditions in Russia and accounting international experience two scenarios are proposed of implementing preventive examinations for tuberculosis in departure countries: with and without introduction of requirement of preliminary medical inspection of working migrants.

scholarly journals The use of digital technologies in social and hygienic monitoring of the health status of workers in harmful working conditions

2021 ◽  
Vol 100 (10) ◽  
pp. 1157-1162
Author(s):  
Galina A. Bezrukova ◽  
Mikhail V. Pozdnyakov ◽  
Tamara A. Novikova
Keyword(s):  
Information System ◽  
Health Status ◽  
Data Storage ◽  
Working Conditions ◽  
Diagnostic System ◽  
The Body ◽  
Information Support ◽  
Dynamic Monitoring ◽  
Functional Reserves ◽  
Medical Examinations

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.

Automation of accounting and reporting of preventive medical exams and clinical examination in medical organizations

10.12737/7354 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Теплякова ◽  
E. Teplyakova ◽  
Щербаков ◽  
S. Shcherbakov
Keyword(s):  
Clinical Examination ◽  
Medical Records ◽  
Medical Information ◽  
Medical Examination ◽  
Medical Information System ◽  
Medical Organization ◽  
Health Card ◽  
Flexible System ◽  
Medical Examinations ◽  
Accurate Reporting

Implementation of information technology in health care is one of the urgent tasks of modernization. Questions automation of accounting and reporting on clinical examination carried out by certain groups of adults, clinical examination of orphans, professional examinations and adult medical examination of the child population (preventive, preliminary, periodic) make up a significant part of the activities of medical organizations both in terms of achieving the goals of the organization. The implementation of a software system "health card", its implementation and use in the medical organization is effectively used in the integration of medical information system in a medical organization. The functions of the system meet all the requirements necessary to meet its work regulations governing the procedure and forms for clinical examination and professional examinations, monitoring of accounting work, the results of clinical examination and analysis of professional examinations, the acceleration of employees by automatically filling out forms, flexible system configuration. Integration of "health map" with electronic medical records enables to collect card baseline medical examination (clinical examination) of the input specialists medical examinations and investigations.Automation of accounting and reporting of preventive medical exams and clinical examination allows medical organization to reduce the labor of doctors and other staff to fill in the documentation and accounting work to avoid mistakes in documents and reports, provide timely and accurate reporting of the established forms of the Ministry of Health.

scholarly journals Pulmonary barotrauma in divers vs procedures initiated by emergency medical personel

2015 ◽  
Vol 53 (4) ◽  
Author(s):  
Martyna Krukowska ◽  
Katarzyna Jańczuk ◽  
Anna Ślifirczyk ◽  
Marta Kowalenko
Keyword(s):  
Preventive Measures ◽  
Medical Personnel ◽  
The Body ◽  
Necessary Condition ◽  
Hyperbaric Chamber ◽  
Pulmonary Barotrauma ◽  
Medical Control ◽  
The Moment ◽  
Medical Examinations ◽  
Rescue Procedure

Abstract Introduction: Pulmonary barotrauma consists in the damage of pulmonary tissues resulting from pressure differences in the body and the surroundings. Barotrauma may occur during diver's ascent with a held breath. Objective: Presentation of symptoms in divers performing dives at shallow depths. A detailed description of pulmonary barotrauma as a direct hazard to life. Rescue procedure in the case of an occurrence of pulmonary barotrauma, methods of prevention. Abridged description of the state of knowledge: Proper equipment preparation, systematic diving training, as well as systematic medical control aimed at conducting medical examinations with regard to staying under water, all constitute primary preventive measures. At the moment of an occurrence of pulmonary barotrauma in a diver it is necessary to perform first aid activities by qualified medical personnel and arrange for a quick transportation to the nearest hyperbaric centre. Summary: Commonly, pulmonary barotrauma concerns individuals diving at depths up to 10 metres. Pulmonary barotrauma is a state of danger to one's health and life. Proper procedures at the scene of an accident as well as quick transportation to a hyperbaric chamber increase the chance of one's recovery and may constitute the necessary condition during rescue activities.

scholarly journals Topical issues of handwriting analysis of signatures performed with a significant gap in time

2021 ◽  
Vol 23 (1) ◽  
pp. 134-147
Author(s):  
O. Drobysheva ◽  
D. Gaydamakina ◽  
O. Cataraga ◽  
Dr. S. Alămoreanu
Keyword(s):  
The Body ◽  
Handwriting Analysis ◽  
Significant Time ◽  
Low Coherence ◽  
Time Gap ◽  
Forensic Expert ◽  
Methodological Approaches ◽  
Writing Practice ◽  
Scientific Standards ◽  
Lengthy Process

At the present stage, the objects of forensic handwriting analysis are signatures performed with a significant gap in time. In this case, such objects are both signatures in studied documents, made at different intervals and studied signatures performed in relation to the comparative material with a time gap. Establishing stability of signature signs depending on performing time is possible taking into account  characteristic signs  of the stages of the signature handwriting formation. Since the factors causing changes in signatures are a lengthy process of forming the signature skill and the amount of signature practice (that is how often a person has to sign). While research on signatures that are at the formation stage, different signs, established together with significant coinciding signs canindicate a further improvement of movements. In personsof middle age (30-60 years old) who have a formed signature handwriting, significant changes do not occur over time until they stop practicing writing. While research on elderly people signatures along with the established coinciding signs, differing ones appear: signs of ataxia, decreased coordination of movements, low coherence of written signs, etc. These signs indicate degradation of movements due to physiological changes in the body in old age and a decrease in writing practice including practice of performing signature. Considering the above, research on signatures performed with a significant time gap is a rather complicated process that often causes difficulties when forensic expert evaluates revealed signs. Within the framework of this research paper, the authors focused on some topical issues existing in modern forensic expert practice of handwriting analyses of signatures performed with a significant time gap. The state of development of modern practical handwriting studies requires improvement of methodological approaches to this type of research. Currently, forensic experts are conducting R&D on the topic: “Improving research methods of signatures performed with a significant gap in time” which relevance is due to the need to improve forensic expert algorithm while handwriting research on signatures performed with a significant gap in time, as well as requirements of modern scientific standards.

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