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

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.

Author(s):  
Viive Pille ◽  
Kristel Oha ◽  
Mariliis Lauri ◽  
Piia Tint ◽  
Varje-Riin Tuulik ◽  
...  

Abstract This investigation was carried out in the frames of the Interreg 4A project “Workability and Social Inclusion” headed by the Arcada University of Applied Life. Tallinn University of Technology and Rīga Stradiņš University were involved in the project. A questionnaire based on the Nordic, WAI (Work Ability Index), and Kiva questionnaires was compiled to study psychosocial and physical working conditions at computer-equipped workplaces for 192 workers. The results showed that the computer workers assess their health status considerably high. They are optimistic in solving the problem that the monotonous work with computers will continue and believe that their health status in the future will stay at the same level using the steadily enhancing rehabilitation means. The most injured regions of the body were the right wrist and the neck. The novelty of the study consists in the graphical co-analysis of different groups of questions presented to the workers, which allows to assess the physiological and psychological factors in complex. The rehabilitation means have to be developed and the possibility for rehabilitation must be made available to the greatest possible number of workers. The workers were divided into two groups: Group A, the length of employment with computers under 10 years (included) and Group B, having been working with computers over 10 years. These groups were found to differ in the perception of psychosocial risk factors at the workplace. Group B assessments for psychosocial working conditions were better than those of group A. In group B, employees appeared to be more afraid of losing their jobs and therefore they were not so demanding for the work atmosphere as in group A.


Author(s):  
G. A. Bezrukova ◽  
V. M. Pozdnyakov ◽  
I. N. Lutsevich

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).


2019 ◽  
Vol 5 (4) ◽  
pp. 44-65
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko

Introduction. Excessive stress on the functional reserves of the body of military personnel can lead to persistent health disorders, disability and dismissal from the Armed Forces of Russia. Aim. Compare the dismissal for health reasons in the military personnel of the Navy of Russia and the Russian Armed Forces in 2003–2018. by categories of military personnel. Material and methods. We conducted a statistical analysis of medical reports on the health status of personnel and medical service activity according to Form 3/MED in military units with a sample comprising about 60% of the total number of military personnel of the Russian Armed Forces and the Navy served from 2003 to 2018. The results and their discussion. Dismissal for health reasons in officers of the Russian Navy over 2003 to 2018 was 15,90±1,36, officers of other branches of the Russian Armed Forces — 7,98±1,10‰ (p<0,001); contract servicemen — 6,82±0,57 and 3,92±0,32, respectively (p<0,001); conscripts — 33,38±1,79 and 17,57±1,19, respectively (p<0,001); women soldiers — 23,01±3,34 and 9,14±1,37‰ (p<0,01). There were no significant differences in the nomenclature of disease blocks that caused dismissals in the categories of military personnel of the Russian Navy and the Russian Armed Forces. Higher dismissal levels within disease blocks indicated higher intensity of professional work and increased demands to the health status of the Navy servicemen compared to those from other branches of the Armed Forces. As a rule, dismissals of military personnel of the Russian Navy and the Russian Armed Forces were due to diseases of the circulatory system (ICD-10 Chapter IX), diseases of the digestive system (Chapter XI) and neoplasms (Chapter II). At the same time, some features of the structure of dismissals for health reasons were identified in the military personnel by categories. Conclusion. Accounting for and prevention of leading diseases that caused dismissals due to health reasons will contribute to improving the health of military personnel. It is necessary to focus the attention of the Russian Navy on a healthy lifestyle and increased physical activity.


2021 ◽  
Vol 65 (4) ◽  
pp. 372-378
Author(s):  
Inna V. Lapko ◽  
Alla V. Zheglova ◽  
Inessa A. Bogatyreva ◽  
Kristina V. Klimkina

Introduction. The health of employees of harmful industries indicates its disadvantage and dependence on behavioural and occupation risk factors, promoting the formation of diseases associated with their impact. In this regard, it is essential to improve hygienic and medical-preventive measures to strengthen and restore the health of the able-bodied population, based on the use of health-saving principles aimed at developing skills for a healthy lifestyle and monitoring predictors of functional disorders of the body and the health of workers. The purpose of the study. Implementation and evaluation of the effectiveness of preventive measures using health-saving methods to optimise the production environment and extend the longevity of workers working in harmful working conditions. Material and methods. Two hundred eighty-two employees of the “Starooskolsky plant of automotive electrical equipment named after A.M. Mamonov” exposed to harmful factors of the working environment were examined. The health status of employees was assessed according to the data of periodic and preventive medical examinations, medical documentation, with an assessment of the prevalence of priority classes of diseases. Behavioural risk factors (smoking, physical activity, the nature of nutrition) and associated functional indices of health disorders were studied: body mass index, biochemical indices. A health-saving program was proposed and tested, including an organisational, training and monitoring unit. Results. The health status assessment of the workers of the studied enterprise showed the structure of morbidity to be formed by cardiovascular pathology, diseases of the spine and joints, respiratory organs, the psycho-emotional sphere, endocrinopathy, reaching almost 70%. More than half of the employees are overweight against the background of an unbalanced and irrational diet, a low level of physical activity, and lipid metabolism disorders. The introduction and testing of a preventive program developed on principles of health saving contributed to improving the health of employees and reducing morbidity. Conclusion. The recommended set of health-saving measures contributed to optimising working environment conditions, correcting the state of health of employees, and prolongation of labour longevity.


Author(s):  
E. A. Mishina ◽  
I. . Kudryashov ◽  
O. V. Belometsnova

A comprehensive study of working conditions and health status of individuals running the crusher machines was done. Occupational risk assessment was conducted. The impact of the production process on the body systems functioning was estimated.


2018 ◽  
Vol 97 (8) ◽  
pp. 721-726
Author(s):  
Ivan G. Nenakhov ◽  
Yu. I. Stepkin ◽  
L. E. Mekhanteva

Introduction. Laboratory practice is characterized by an increased hardness of the work process. In the research presented, a complex comparative assessment of the working conditions and functional condition of the employees of the laboratory center “Center for Hygiene and Epidemiology in the Voronezh Region” was carried out, in which a laboratory information system (LIS) is planned to be introduced into the practice. The assessment of the conditions of the labor process and the functional state of the employees was also carried out in the testing laboratory of the Center for Hygiene and Epidemiology in the Tambov Region, where the LIS software operates in the regular mode. Material and methods. The study was conducted on 170 specialists of testing laboratory centers. There are given data on the assessment of the hardness and intensity of the labor process of laboratories of different types of activity at workplaces of testing laboratory centers in the Voronezh and Tambov regions. There was performed a clinical examination of specialists of testing laboratory centers on the indications of the cardiovascular system: dynamics of the heart rate, systolic and diastolic blood pressure, minute blood volume during the working day. Results. Based on a comparative analysis of the results obtained, conclusions were drawn about the peculiarities of working conditions and performance indices of employees of testing laboratory centers in the dynamics of the working week. Differences in the formation of fatigue in the specialists of laboratories for hygienic and epidemiological profiles of activity among employees of a testing laboratory center, working without an information system introduced into the professional activity, have been observed in the second half of the working day, whereas those working with a laboratory information system the state of the body is correct from the physiological positions. Discussion. The class of labor conditions for specialists in testing laboratory centers, regardless of the profile of activity according to the severity of the work process, was identified as hard work of grade 1 (3.1), the class of working conditions for the intensity of the labor process as a hard work of grade 2 (3.2). Evaluation of the functional state of the body according to the cardiovascular system testifies to a noticeable fatigue in the second half of the working day among specialists working without software and information support. Conclusions. The data obtained as a result of the research made it possible to develop and offer a complex of preventive measures aimed at optimizing working conditions for the introduction into the professional work of personnel of testing laboratory centers. As a result, additions were made to the Instruction on labor protection of specialists of the Center for Hygiene and Epidemiology in the Voronezh Region.


2020 ◽  
pp. 59-67
Author(s):  
E. A. Kitaeva ◽  
◽  
T. A. Suetina ◽  
Z. A. Abdulganieva ◽  
E. A. Bakirova ◽  
...  

The article describes a conceptual approach to automating the algorithm for pre-hospital assessment of risk factors for non-communicable diseases in order to detect diseases early and monitor them later. The presented information system will allow calculating risk factors for non-communicable diseases, providing dynamic monitoring, and creating a unified register of pre-medical examinations. The information system is developed on the basis of a previously developed algorithm for pre-medical assessment of the risk of non-communicable diseases [4], and allows preliminary identification of risk factors for non-communicable diseases among the General population without conducting expensive analyses and without involving highly qualified medical professionals.


Food Industry ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 71-78
Author(s):  
Ekaterina Minnikhanova ◽  
Nataliya Zavorokhina ◽  
Anna Gilina

Abstract The inclusion of polysaccharide thickeners in the recipes of sweet dishes increases the functional reserves of the body, contributes to the preservation of health and the prevention of diseases. The purpose of the research is to study the sensory characteristics of polysaccharides of various nature when combined with food acids, to develop a recipe for a basic mixture of low-calorie meals for public catering. The authors analyzed citric, lactic and succinic acids in combinations with polysaccharides of various nature. Organoleptic tests were evaluated by a touch panel. The organization of the tasting analysis corresponded to GOST ISO 6658-2016; the consistency was determined according to GOST 31986-2012, GOST ISO 11036-2017, GOST ISO 8588-2011. The optimal organoleptic combinations of the presented food acids and complex additives of sweeteners (CDP) were identified, which included aspartame, sodium saccharinate, Sucralose, sweetness coefficient – 340: the mixture with citric acid had a long pleasant aftertaste without foreign tastes and the best taste characteristics. Using the “A-not A” method, we found that the sample with the addition of CDP is identical to the sucrose solution. In the second part of the study, polysaccharides were added to model samples of acids with complex sweeteners; the best sensory characteristics were obtained by model samples consisting of a mixture of low-esterified Apple pectin with lactic acid and KDP. The technology of obtaining a stable elastic jelly using low-esterified Apple pectin has been developed, since the complex mixture of sweeteners and food acids does not have a dehydrating effect. Developed a dry mix recipe that can serve as a basic development, low-calorie sweet products for catering and has a variance of use of lactic and succinic acids, depending on the flavor characteristics of the raw materials used and its corrective ability.


Author(s):  
Mohamed Ahmed Darwish Abdulla Larii ◽  
◽  
Fatma Ahmed Lari ◽  
Mohamed Ahmed Darwish Abdulla Lari ◽  
◽  
...  

This study intends to find out the mediating effect of organisational culture on the relationship between information system and sustainable performance of manufacturing sector in UAE. This study used AMOS-SEM software to develop mediation model that linking the mediating relationships between Information System, Organisational Culture and Sustainable operation Performance. Data was collected through questionnaire survey among the operation staff of Abu Dhabi manufacturing companies. A total 250 questionnaires were distributed however 205 were returned and only 200 are valid which indicates a response rate of 80%. The analysis found that TPS has positive but not significant effect to SP; OIS has positive but not significant effect to SP; FMW has a positive and significant effect on SP; SDS has a negative and not significant effect to SP and SP has positive but not significant effect OC. For the path relationship between the four exogenous variables (TPS, OIS, SDS, and FMW) and the mediator variable (OC), the results are TPS has positive and significant effect to OC; OIS has positive but not significant effect to OC; FMW has positive and significant effect to OC and SDS has positive and not significant effect to OC. Collectively, the five exogenous constructs (TPS, OIS, SDS, FMW and OC) explained 89% variation in operational performance and 86% of the variation in organisational culture. However, for a mediator, it was found that OC has no significant mediating effect on the relationship between TPS and SP; OC has no significant mediating effect on the relationship between OIS and SP; OC has no significant mediating effect on the relationship between SDS and SP and OC has no significant mediating effect on the relationship between FMW and SP. it can be concluded that there is a positive relationship between information system dimensions and operational performance. However organizational culture has no contributing any mediating effect to the relationship. These findings have contributed to the body of knowledge and could be shared among the UAE manufacturing practitioners.


Author(s):  
Irina V. Fedotova ◽  
Tatyana N. Vasilyeva ◽  
Tatyana V. Blinova ◽  
Irina A. Umnyagina ◽  
Yuliya V. Lyapina ◽  
...  

Introduction. Digital technologies are actively used in the work of specialists of medical centers of various profiles, which causes the impact on employees of a number of professional factors that determine the characteristics of their work. The aim of the study is to evaluate the influence of professional factors on the functional state of the employees' body and the glutathione system as an objective indicator of stress based on the analysis of the subjective perception of the medical center employees of the specifics of working with personal computers and psychophysiological testing. Materials and methods. The study involved 109 specialists of medical centers (25 ophthalmologists, 31 representatives of the secondary medical staff - nurses and paramedics, 53 office employees). The anonymous survey concerned the assessment of working conditions and their impact on the functional state of the body of the respondents. Performance and stress tolerance indicators were evaluated using three standard questionnaires. The study of 66 subjects' levels of glutathione in the blood: total, reduced, oxidized and the ratio of reduced and oxidized - was used to analyze the relationship of the neuro-emotional nature of labor with the reaction of oxidative stress. Statistical processing of the obtained data was carried out using traditional methods of variation statistics and calculating the value of the odds ratio (OR) with a 95% confidence interval (CI). Results. The survey revealed a significant proportion of people in all groups of respondents who constantly use computer technology in their work. Describing the quality of the processed information, doctors more than representatives of other groups note its complexity, importance, negative emotional color, a high degree of responsibility and tension. Doctors more often than average medical staff and office workers associate the manifestation of fatigue with an uncomfortable state of the visual organ, nervous system, and musculoskeletal system. The subjects showed reduced performance and stress tolerance with the most pronounced negative trends in the group of doctors. Changes in the glutathione system were detected, indicating the presence of oxidative stress in 40% of ophthalmologists and office workers, and in half of nurses. Conclusions. The work of specialists of medical centers of various profiles in accordance with their assessment is characterized by high nervous and emotional stress, due to the need to process a significant amount of complex and important professionally significant information. Subjectively noted by respondents the influence of working conditions on the functional state of the body is confirmed by indicators of the glutathione system, which can be used as indicators of nervous and emotional stress.


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