ABSTRACT
ILO plan of action (2010-2016) to achieve widespread ratification and effective implementation of the occupational safety and health instruments (Convention No. 155, its 2002 Protocol and Convention No. 187) is discussed. ILO documents on recording and notification as well as new list of occupational diseases (revised 2010) are considered.
Subject(s)
International Classification of Diseases/legislation & jurisprudence , International Cooperation , National Health Programs , Occupational Diseases , Occupational Health/legislation & jurisprudence , Health Maintenance Organizations , Humans , Occupational Diseases/classification , Occupational Diseases/prevention & control , Occupational Health Services , Public Health Administration/methods , RussiaABSTRACT
Based on legislation of RF, Occupational Health Ministry and WHO, the authors specified methodology to reveal diseases associated to work, in addition to present system of occupational diseases diagnosis. The article also covers terminology, premises and causation (determining relationships with work) principles. The authors presented models and criteria for causation in consensus and evidence based medicine with computerized and Internet technologies, described contemporary approaches to prophylaxis.
Subject(s)
Occupational Diseases/diagnosis , Occupational Diseases/prevention & control , Occupational Exposure/adverse effects , Occupational Medicine/methods , Risk Assessment/methods , HumansABSTRACT
The loudness and hazard of noise as a determinant of sound undesirability are considered. Physiological and hygienic acoustics are compared in the context of biomechanics and psychoacoustics. Evaluation of pulse noises and a problem of the diurnal action of noise on working and non-working populations are considered. Despite an abundance of acoustic indices, no uniform theory exists pertaining to the population's complaints. The European Union noise regulations, unsolved problems, their solution, and prospects are outlined.
Subject(s)
Environmental Exposure/adverse effects , Environmental Monitoring/methods , Hygiene/standards , Noise/adverse effects , Psychoacoustics , Circadian Rhythm , Humans , Noise/prevention & controlABSTRACT
The article deals with problem of occupationally related diseases, examples and evidence. The authors analyzed role of periodic medical examinations in diagnosis of occupationally related diseases, considered a triad for their diagnosis: flow-chart, algorithm table and numerical scale. Suggestions on improving periodic medical examinations for diagnosing occupationally related diseases are presented.
Subject(s)
Occupational Diseases/epidemiology , Employment/statistics & numerical data , Global Health , Humans , Mass Screening , Occupational Diseases/diagnosisABSTRACT
The authors considered basic methodology concerning evaluation of occupationally related morbidity: terminology, legal and methodologic items. Suggestions included new single-numerical index for occupationally related morbidity, considering categories of risk, severity and occupational connection.
Subject(s)
Occupational Diseases/diagnosis , Occupational Diseases/prevention & control , Occupational Health Services/organization & administration , Health Status , Humans , Occupational Diseases/epidemiology , RussiaABSTRACT
The article deals with essentials of evidence-based medicine, its principles in occupational medicine and patterns of evaluation of occupation and disease relatedness. The authors suggest an algorithm of medical examinations considering evidence-based medicine principles.
Subject(s)
Evidence-Based Medicine/standards , Health Status , Occupational Diseases/diagnosis , Occupational Health Services/standards , Adult , Humans , Middle Aged , Occupational Health , RussiaABSTRACT
Loader machine operators in Volzhskii Automobile Works, who suffer from cervical osteochondrosis, were subjected to X-ray screening with special applied methods. The screening revealed various compensatory and dystrophic changes involving locomotion apparatus of hands and cervical part of spine. The studied occupational factors proved to enhance the locomotion disorders in the examinees.
Subject(s)
Arthrography , Automobiles , Bone and Bones/diagnostic imaging , Adult , Bone Density , Bone Diseases/diagnostic imaging , Cervical Vertebrae/diagnostic imaging , Female , Hand/diagnostic imaging , Humans , Joint Diseases/diagnostic imaging , Male , Middle Aged , Occupational Diseases/diagnostic imaging , Time FactorsABSTRACT
The paper is concerned with the results of neurological examination of 113 patients who developed acute radiation sickness of various degrees of severity during the elimination of the effects of the accident at the Chernobyl Nuclear Power Station. A clinical picture of neurological disorders at different periods of ARS was described. CNS specific and nonspecific lesions were defined.
Subject(s)
Accidents , Nervous System/radiation effects , Nuclear Reactors , Occupational Exposure/adverse effects , Power Plants , Acute Disease , Adult , Beta Particles/adverse effects , Dose-Response Relationship, Radiation , Female , Gamma Rays/adverse effects , Humans , Male , Middle Aged , Nervous System/physiopathology , Occupational Diseases/diagnosis , Occupational Diseases/etiology , Occupational Diseases/physiopathology , Radiation Injuries/diagnosis , Radiation Injuries/etiology , Radiation Injuries/physiopathology , UkraineABSTRACT
Under neurological investigation were 113 patients with different degrees of severity of acute radiation disease (ARD). The patients were relatively evenly irradiated by beta- and gamma-rays as a result of CPP accident. The onset time and markedness of the signs of primary reaction were related to ARD severity. Early appearance of the signs of disturbances in the central nervous system functional state suggested a stronger affliction, malignant course and fatal outcome of the disease. Ii ARD patients with IV-th and III-rd degree of severity the syndromes observed were these: acute radiation encephalopathy immediately caused by the ionizing irradiation of the CNS, and a secondary radiation-toxic encephalopathy. The hemorrhagic lesioning of CNS and cerebral hemispheres were noted in terminal stages. In rehabilitation phases, neurasthenic and neurovascular syndromes appeared irrespective of the ARD severity.