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;

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 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 RISK ASSESSMENT METHODS AND THEIR INFORMATION SUPPORT

2019 ◽  
Vol 98 (12) ◽  
pp. 1327-1330 ◽  
Author(s):  
I. V. Bukhtiyarov ◽  
A. F. Bobrov ◽  
Eduard I. Denisov ◽  
A. L. Eremin ◽  
N. N. Kur’erov ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Occupational Health ◽  
Working Conditions ◽  
Evidence Based Medicine ◽  
New Technologies ◽  
Occupational Risk ◽  
Whole Body ◽  
Evidence Based ◽  
Special Assessment ◽  
Based Medicine

The digital transformation of the economy and society prompts the renewal of methods in occupational health as well. There are outlined fundamentals of the draft revision of the “Guidelines for the Assessment of Occupational Risk to Employee Health. Organizational and methodological foundations, principles and criteria for the assessment». R 2.2.1766-03. The draft contains methods of occupational risk (OR) assessment supplied with information materials and software for working on the Internet in real-time. Algorithms and models for calculating the probability of impairment of health according to data of the Special Assessment of Working Conditions (SAWC) as well as causation algorithms - work-relatedness assessment according to data of periodic medical examinations (PME) for the validity of risk assessment from the standpoint of evidence-based medicine are presented. There are set out methods for calculating the probability of the formation of occupational diseases (OD) of the main nosological forms from the exposure of noise, hand-arm and whole-body vibration, heat and cool microclimate, fibrogenic dusts, physical labor (local, regional and general loads), strenuous work, standing work with the likelihood of varicose lower veins limbs, multi-factor exposure and low-back pain. Risk assessments for the reproductive health of workers are also discussed. The models are based on the documents of the WHO, ILO, ISO, domestic and foreign literature data that meet the principles of evidence-based medicine. The problems of work-related diseases (WRD) - the concept of WHO (1987) -basics of etiology, qualitative and quantitative criteria for causation, models of consensus and evidence-based medicine, as well as projects for integrated work on the detection systems for WRD in the European Union countries are considered. Single-digit indices of working conditions and health problems, moral harm caused to an employee suffering from OD or WRD. Hygienic recommendations to employers on OR management, prevention priorities, the role of personal protection equipment, the basics of corporate health promotion programs, and ethical and economic aspects are described. The calculation methods are provided by the software of the electronic online reference book “Occupational Risk” (URL: http://medtrud.com/) in order to ensure evidence-based decisions of hygienists. In conclusion, a turning point in occupational health is noted: a decrease in the detection of traditional ODs without compensation by the number of OD and WRD from new technologies, materials and risk factors; this problem requires urgent action.

An occupational hazard of workers of wagon-repair production

2019 ◽  
pp. 272-277 ◽  
Author(s):  
Galina V. Kurenkova ◽  
Natalia A. Sudeikina ◽  
Elizaveta P. Lemeshevskaya
Keyword(s):  
Working Conditions ◽  
Musculoskeletal System ◽  
Occupational Risk ◽  
Working Environment ◽  
Labor Process ◽  
Control Group ◽  
Professional Groups ◽  
Wagon Wheel ◽  
Medical Examinations ◽  
Very High

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.

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

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.

Risk assessment of development of distress states at workers in harmful work conditions

2020 ◽  
pp. 561-561
Author(s):  
G. A. Bezrukova ◽  
V. M. Pozdnyakov ◽  
I. N. Lutsevich
Keyword(s):  
Risk Assessment ◽  
Working Conditions ◽  
Integrated Assessment ◽  
Work Conditions ◽  
The Body ◽  
Medical Examinations

The tactics of identifying the risk of distress in workers in harmful and/or dangerous working conditions on the basis of an integrated assessment of adaptive reserves of the body, carried out within the framework of mandatory (preliminary, periodic) medical examinations (surveys).

Methods of occupational risk assessment

2020 ◽  
pp. 60-73
Author(s):  
A.V. Korobov
Keyword(s):  
Risk Assessment ◽  
Working Conditions ◽  
Occupational Risk ◽  
Professional Activity ◽  
Regulatory Documents ◽  
Energy Complex

The analysis of existing methods and principles of occupational risk assessment is presented. It is concluded that there is no methodology that takes into account the special features of professional activity of employees of the fuel and energy complex, working conditions factors, as well as the degree of employee fatigue. Recommendations for making adjustments to existing regulatory documents have been developed.

Sudden death from diseases of the circulatory system of employees of enterprises of the Republic of Bashkortostan

2020 ◽  
Vol 99 (4) ◽  
pp. 384-389
Author(s):  
Lilia K. Karimova ◽  
Z. F. Gimaeva ◽  
T. N. Astrelina ◽  
N. A. Muldasheva ◽  
A. B. Bakirov ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Sudden Death ◽  
Cause Of Death ◽  
Working Conditions ◽  
Circulatory System ◽  
Republic Of Bashkortostan ◽  
The Republic ◽  
Special Assessment ◽  
Medical Examinations

Introduction. Over the past decade, in Russia and abroad, there has been a clear trend towards an increase in cases of sudden death in the workplace from the disease of the circulatory system. Material and methods. During the study, there were studied the databases of the State Labor Inspectorate in the Republic of Bashkortostan in 2014-2018, including accident investigation reports, information on a special assessment of working conditions, medical examinations, forensic medical examinations and other materials. Results. Diseases of the circulatory system (DSC) were the main cause of sudden death in the workplace in more than 90% of cases. The maximum number of cases of sudden due to DSC was recorded in the age group of 56-60 years. The overwhelming majority of the deceased cases were represented by working occupations - 82.8%, drivers of transport were in 13.7% of cases. The vast majority of deaths occurred in the morning (from 6 to 12) and daytime (from 12 to 18) hours. The working conditions of deceased DCS workers in most cases (59.8%) corresponded to the permissible class (class 2); under harmful conditions (subclass 3.1 - 3.3) 24.9% cases worked. Most often, some form of acute coronary heart disease (CHD) was mentioned as the immediate cause of death (64.0%). Among acute forms of coronary heart disease in medical documents in more than 50% of cases the code I 24.8 “Other forms of acute coronary heart disease” was established. “Acute myocardial infarction” was verified in 11.1% of cases and was the main cause of death in men. In the group “Cerebrovascular Diseases”, “Intracerebral hemorrhage” was most often diagnosed. Conclusion. The obtained results substantiate the need to develop measures to prevent sudden death in the workplace, aimed primarily at preventing the development, progression and early diagnosis of DSC.

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.

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