RESUMO
Urgency of the problem is defined by economical, regulatory and legislative acts, regional social and moral factors. There is critical situation in Russian Pediatric Healthcare system. This situation is due to inadequate funding, high medical technologies inaccessibility for some Russian children, their adverse health state. The article presents a retrospective analysis of intensive therapy and resuscitation outcomes with technical equipment and work environment assessment in the intensive care unit of Tushinskaya city pediatric clinic for the period from 2007 to 2011. Anaesthetic and emergency care quality and safety depend on several factors: permanent equipment improvement, comprehensive analysis of every fatal case and full implementation of "Anti-epidemic (prophylactic) actions plan" and "Program of monitoring compliance with the sanitary norms".
Assuntos
Cuidados Críticos/métodos , Unidades de Terapia Intensiva/organização & administração , Qualidade da Assistência à Saúde , Ressuscitação/métodos , Anestésicos/administração & dosagem , Tecnologia Biomédica , Criança , Cuidados Críticos/normas , Serviço Hospitalar de Emergência/organização & administração , Serviço Hospitalar de Emergência/normas , Fidelidade a Diretrizes , Acessibilidade aos Serviços de Saúde , Humanos , Unidades de Terapia Intensiva/normas , Estudos Retrospectivos , Federação Russa , Resultado do TratamentoRESUMO
The complex social and hygienic investigations helped to define occupational factors affecting the health of workers servicing the refrigerator railway wagons.
Assuntos
Doenças Profissionais/epidemiologia , Saúde Ocupacional , Ferrovias , Refrigeração , Adulto , Fatores Etários , Humanos , Masculino , Microclima , Pessoa de Meia-Idade , Morbidade , Ruído/efeitos adversos , Doenças Profissionais/etiologia , Fatores de Tempo , Vibração/efeitos adversos , Local de TrabalhoRESUMO
Long-term studies helped to group all railway occupations according to similar occupational and industrial hazards and to morbidity levels. The authors elaborated the main principles of primary prophylaxis for those occupations, considering all the hazards, morbidity levels and economic features.
Assuntos
Programas de Rastreamento , Doenças Profissionais/prevenção & controle , Prevenção Primária/métodos , Ferrovias , Humanos , Morbidade , Doenças Profissionais/epidemiologia , Fatores de TempoRESUMO
Social and hygienic studies provided the social and hygienic characteristics of passenger train conductor work, which are represented in the article. Morbidity levels, length of service are set. The main scientific social and hygienic directions are defined so as to solve the problems of workers engaged into public transport.
Assuntos
Doenças Profissionais , Ferrovias , Adulto , Fatores Etários , Feminino , Humanos , Higiene , Masculino , Pessoa de Meia-Idade , Ocupações , Fatores SocioeconômicosRESUMO
Targets and problems of complex engineering and hygienic examination of railway facilities are presented along with the principles of its planning. The staff of specialists carrying out such examinations is described. The technique for assessing the state of sanitary service premises is set forth. The results of the proposed examination approval are given.