RESUMO
The authors considered topics of occupational and general comorbidity of occupational lumbosacral radiculopathy in coal miners (2791 examinees) observed over 1976-2014 in occupational center. In patients having lumbosacral radiculopathy without occupational mixed diseases, the occupational disease was diagnosed at the age 3-5 years younger, and 2-4 years earlier from primary visit. Analysis of occurrence of general comorbid conditions with lumbosacral radiculopathy revealed some regularities: patients manifested with symptoms due to vibration have more frequent arterial hypertension than in those with lumbalgia, whereas in risk group of hearing affected by noise IHD was more possible.
Assuntos
Minas de Carvão/estatística & dados numéricos , Mineradores/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Radiculopatia/epidemiologia , Adulto , Comorbidade , Humanos , Região Lombossacral/inervação , Masculino , Federação Russa/epidemiologiaRESUMO
The results of the study to evaluate satisfaction with the quality of the periodic medical examinations of workers (PME) are analyzed. In survey 45 employers, 120 doctors performing PME and 107 workers participated. The results show low satisfaction with the quality of the PME. Employers in 60% of cases noted the formal conduct of PME. Doctors in 40.8% of cases as the main defect in the organization of PME mentioned the lack of quality control system. According to the workers' opinion, the poor quality of PME recognized in 30.8% of cases; however, 54.2% of the workers noted the good organization of the PME.
Assuntos
Atenção à Saúde/normas , Serviços de Saúde do Trabalhador/normas , Exame Físico/normas , Qualidade da Assistência à Saúde , Competência Clínica/normas , Atenção à Saúde/organização & administração , Humanos , Exposição Ocupacional/análise , Médicos do Trabalho/normas , Serviços de Saúde do Trabalhador/organização & administração , Federação RussaRESUMO
The results of periodic medical examinations (PME) of workers of the machine-building enterprise are analyzed and factors defining their quality are considered. The criteria of PME quality are proposed and used along with analysis of the defects of medical records. With help of Pareto chart the most significant factors affecting the quality of PME are revealed. These were noted in 76% of cases and included: lack of expertise of fitness to work, the discrepancy of the results of this expertise and the worker's pathology, the lack of registration and collection of complaints and anamnesis.
