Assessment of occup AtionAl risk of violA tions for heAlth  of medicAl workers by results of periodic  medicAl exAminA tion

Amirov, N. Kh.; Berkheeva, Z. M.; Гарипова, Р. В.

doi:10.20969/vskm.2014.7(2).10-14

Cited by 7 publications

(3 citation statements)

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“…Введение. Современные тенденции ухудшения состояния здоровья и рост неинфекционных заболеваний среди взрослого трудоспособного населения, включая и медицинских работников [1][2][3], актуализируют значение здорового образа жизни, как одной из важнейших проблем развития Российской Федерации. Вместе с тем, известно, что медицинские работники с позиций стратегии формирования здорового образа жизни и его влияния на здоровье занимают особое положение, реализуя как субъектные, так и объектные роли.…”

Section: практическому здравоохранениюunclassified

Hygienic characteristics of the cosmetologists' lifestyle

Latyshevskaya

Yatsyshena

Shestopalova

et al. 2020

Med. tr. prom. èkol.

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Modern trends in the deterioration of health and the growth of non-communicable diseases among the adult working-age population, including medical workers, actualize the importance of a healthy lifestyle for maintaining health and professional longevity. There were almost no studies related to cosmetologists' experienced group as representatives of aesthetic medicine. There is no scientific evidence on behavioral risks of this group. It justifies the relevance of this study. The study aims to analyze the essential components of the cosmetologists' lifestyle depending on age and the argumentation of priority behavioral health risk factors for preventive and recreational work justification. Sixty women (practicing cosmetologists in Volgograd at the age of 28-39 years (group A) and 40-53 (group B)) took part in the study. Lifestyle assessment included a modified questionnaire. The questionnaire consists of 5 blocks (block 1 - nutrition; 2 - physical activity, including hardening and active rest; 3 - daily regimen; 4 - personal hygiene; 5 - bad habits). It allows the analysis of the adherence to a healthy lifestyle based on the provision of quantitative data. Statistical data processing was carried out using the Excel package. The authors identified the essential and statistically significant differences in the cosmetologists' lifestyle depending on age. The respondents of group B demonstrated hygienically rational indicators in all blocks of the lifestyle more often. They had a more formed adherence to a healthy lifestyle: 504 answers in the category "insignificant risk" of respondents in group B versus 354 in group A. Distribution of answers in the "high risk" category: 119 responses in group B and 185 in group A. The lifestyle of 46.7% of the respondents in group B refers to a healthy lifestyle. 3.3% of the group B respondents have an anxious lifestyle, 50% have health risks. 10% of Group A respondents' lifestyle refers to a healthy lifestyle. 13.3% of Group A respondents' lifestyle refers to an anxious lifestyle; 76.7% of this group have health risks. There was almost no complex hygienic research profession of medical cosmetologists. Cosmetologists of the older age group (40-53 years old) are more conscious of maintaining a hygienically rational lifestyle. The most significant defects among cosmetologists aged 28-39 years are low physical activity, nutritional defects, insufficient duration of night rest, and excessive use of information and communication technologies for rest, accompanied by manifestations of neurotization and signs of pronounced fatigue. The obtained results argue the need to develop and implement informational and educational measures to prevent risk behavior patterns, taking into account the age of cosmetologists and the priority of the identified behavioral risk factors.

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Section: практическому здравоохранениюunclassified

Hygienic characteristics of the cosmetologists' lifestyle

Latyshevskaya

Yatsyshena

Shestopalova

et al. 2020

Med. tr. prom. èkol.

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“…Female obstetrician-gynecologists of reproductive age belong to the risk group for health deterioration due to a complex interaction of harmful occupational factors [1]. However, these women are often at the pre-nosological stage of the disease with reversible functional disorders that are prospective in terms of correction [2].…”

Section: Introductionmentioning

confidence: 99%

Pre-nosological monitoring of the health statuses of female obstetrician-gynecologists

Lisok¹,

Наумов²,

Pavliukovets³

et al. 2019

hpc

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Authors' contributionWkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane -analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Background. Female obstetrician-gynecologists of reproductive age provide medical care in harmful working conditions creating health risks for themselves. Material and methods. Female obstetrician-gynecologists working in hospitals (n=32) and antenatal clinics (n=32), therapists of outpatient clinics (n=31) and women working in the positions of accountants, economists, lawyers and secretaries (n=31) in the healthcare organizations of the Grodno region participated in this research. Working conditions were assessed by studying the results of the workplaces' certification. Pre-nosological monitoring was conducted using the following methods: cytomorphological testing of buccal epithelium, microbiological testing of the oral biocenosis and psychological testing. Results. We established that the studied female obstetrician-gynecologists work in harmful conditions (hazard classes 3.2-3.3). It was associated with functional changes in their bodies: 23.3% of them had deviations in cytomorphological parameters of buccal epithelium; 59.3% had excessive amounts of E. coli group bacteria in their oral cavity and already formed phases of the occupational burnout syndrome. Conclusions. The selected set of methods for pre-nosological monitoring permit analysis of the impact of different occupational factors and the formation of target risk groups for the implementation of measures improving adaptive reserves.

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“…The list of reproductive disorders caused by exposure to occupational and work-related factors[8][9][10][11][12][13][14][15][16][17] Sex and a period in the reproductive cycleSpecific responses (outcomes) represented by reproductive disordersNon-specific responses (outcomes) represented by reproductive disorders A woman not pregnant -weaker fertilization or loss of it -disorders of menstrual function (N91, N92, N94), female infertility (N97), untimely menopause (N95); -non-inflammatory disorders of female genital tract (N80-N98): endometriosis (N80); non-inflammatory disorders of ovary (N83); hyperplasia in uterus (N85); dysplasia and leukoplakia of cervix uteri (N87-N88); -neoplasms in female genital organs (D25-D28): uterine fibroid (D26); -benign mammary dysplasia (N60); female genital prolapse (N81); malignant neoplasms of female genital organs and breast (С50-С58); -disorders of population hormonal markers profile in urine during two cycles to estimate ovarian dysfunction (LH, FSH, HCG in 100 women) (Е28); -non-specific inflammatory disorders of female pelvic organs (N60-N73, N76, N77); A pregnant woman -unfavorable conception outcome -spontaneous abortion (O03), ectopic pregnancy (O00), hydatidiform mole (O01), other abnormal products of conception (О02), habitual aborter (N96), stillbirth (Z37); threat of miscarriage (О20.0); -complications of an existing somatic pathologyanemia of pregnant (О99); -pregnancy complications -excessive vomiting in pregnancy (O21), gestosis in the second half of pregnancy (О10-О16); -premature delivery (О42, O60), abnormalities of forces of labor (О62);Negative responses (outcomes) in offspring…”

mentioning

confidence: 99%

Substantiating methodical approaches to quantifying reproductive health risks caused by harmful occupational and work-related factors

Shur¹,

Zaitseva²,

Lir³

2022

Health Risk Analysis

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The article dwells on methodical approaches to quantifying occupational risk (OR) which give an opportunity to spot out priority trends in prevention of reproductive losses caused both by occupational diseases (ODs) and work-related diseases (WRDs). OR quantitative assessment takes into account an additional probability of developing disorders and their severity. When assessing OR for reproductive health, it is advisable to take into account sex-related peculiarities, sensitive periods in the reproductive cycle, variable physiological states, as well as health disorders in offspring caused by parental occupational exposures. The assessment is based on epidemiological research. The algorithm also involves determining OR of reproductive disorders; determining an integral OR of reproductive disorders (as a combined account of both ODs and WRDs caused by exposure to different factors); determining OR categories and assessing their acceptability regarding reproductive health. It is suggested to determine severity of reproductive health outcomes (health effects) using conventional coefficients recommended by the WHO and “loss of fertility” level which is significant in assessing consequences for offspring. In case a risk is detected, both for exposed workers and their offspring, it is recommended to consider selecting the priority (maximum) risk level to be the ultimate assessment result. The suggested methodical approaches were tested on a group of women employed at a petrochemical production and exposed to several harmful occupational factors (chemical factor and labor intensity) with working conditions at their workplaces belonging to the hazard category 3.1. The assessment revealed the integral risk for reproductive health to be equal to 1.6∙10-2 thus indicating that the risk was unacceptable. Besides, occupational factors influencing a mother create an unacceptable risk for development of healthy offspring (the detected risk is 3∙10-3). Such a reproductive disorder as infertility causes “insignificant” risks for women whereas they grow up to being “high” for their potential offspring. The ultimate assessment result is selecting the maximum risk levels, that is, the “high” risk for offspring’s health.

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Assessment of occup AtionAl risk of violA tions for heAlth of medicAl workers by results of periodic medicAl exAminA tion

Cited by 7 publications

References 0 publications

Hygienic characteristics of the cosmetologists' lifestyle

Hygienic characteristics of the cosmetologists' lifestyle

Pre-nosological monitoring of the health statuses of female obstetrician-gynecologists

Substantiating methodical approaches to quantifying reproductive health risks caused by harmful occupational and work-related factors

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