Health Status Of Employees Research Articles

Sanitary and epidemiological welfare in divers

Introduction. The issues of sanitary and epidemiological welfare in workers when performing diving operations require close attention from the state, are part of the structure of the Concept of development of diving in Russia, and are relevant to society. To date, there are several problems not only in hygienic rationing, but also in the medical provision of diving operations. The purpose of the study is to study working conditions and subjective assessment of the health status of employees when performing diving operations, to develop proposals for improving legislation. Materials and methods. The analysis of normative legal acts and scientific literature on the protection of the health and labor of divers is carried out. A survey of fifty diving workers was carried out. Results. The main problems in the management of diving operations have been identified: in 15% of organizations there is no production control program, in 49% of organizations there is no therapeutic and preventive nutrition. There is no medical worker at the site of diving descents, if signs of decompression sickness or lung barotrauma are detected, therapeutic recompression is carried out in 46% of cases before the arrival of a diving doctor (paramedic) on their own. During the descents, 30% of respondents experienced fatigue, tiredness, headache, while all of them underwent mandatory medical examinations in private healthcare institutions; 18% of respondents indicated symptoms of hypothermia. At the same time, more than 60% of respondents were revealed to be subject to occupational burnout. Limitation of the study is the lack of data on the results of preliminary and periodic medical examinations of respondents. Conclusion. At the present stage, the system of ensuring sanitary and epidemiological welfare during diving operations requires improvement both in terms of state rationing, accounting and control, and compliance with health-saving preventive measures by employers and employees. In particular, attention should be paid to the direction of studying the development of occupational burnout in divers and to elaborate the system of prevention.

Automotive workers: the role of coordinative and conditional abilities as effectiveness wellness indicator.

Noncommunicable diseases are on the rise due to sedentary and unhealthy lifestyles. The World Health Organization (WHO) and the American College of Sports Medicine (ACSM) recommend maintaining a healthy diet and engaging in regular physical activity, particularly in the workplace. Prolonged and repetitive work tasks can result in extended sick leave and decreased productivity while at work. Therefore, it is important to identify predictive factors that can act as indicators of the health status of employees. Utilizing motor abilities assessment tests can help to identify health issues at an early stage. Promoting preventive health measures is crucial for addressing chronic diseases and enhancing overall occupational well-being. The purpose of the study was to characterize workers' motor abilities and fitness levels and identify potential indicators. A total of 605 workers participated in this study, including 529 male participants with a height of 176 ± 0.09 cm and a body mass of 75.9 ± 14.1 kg and 77 female participants with a height of 162 ± 0.11 cm and an average body mass of 58.9 ± 11.1 kg. These individuals were enrolled during an Italian automotive corporation's mandatory annual medical check-up. The participants were categorized into three groups based on their occupational roles: blue-collar, manager, and white-collar groups. The participants underwent motor abilities assessment tests for upper-limb strength, trunk flexibility, and reaction time. The blue-collar group reported the best results in upper-limb strength (93.3 kgf ± 18.60), but had the worst results in flexibility (21.7 cm ± 7.90), total reaction time (58.8 s ± 4.74); and average intermedium (0.68 ms ± 0.11). The white-collar group reported the best result in flexibility (23.7 cm ± 8.94) and reaction time (48.5 s ± 4.38; 0.64 ms ± 0.09). Despite being frequently used to assess health status, handgrip measurements may not provide accurate differentiations because of the common use of blue-collar workers for tasks that require upper-limb strength. In contrast, reaction time metrics appear more reliable and discriminative in evaluating a worker's physical fitness.

Distinction of mental health between salesman and R&D in high-tech enterprise: a fNIRS study

Employees in enterprises face numerous challenges due to the severe employment situation and job pressure. Sales personnel and research and development (R&D) personnel in companies are particularly susceptible to mental health issues due to the unique nature and complexity of their work. This study aims to explore the psychological health issues among sales personnel and R&D personnel in high-tech enterprises. Twenty-four R&D personnel (23 males and 1 female) and twenty-six sales personnel (25 males and 1 female) were recruited. The participants’ psychological health conditions were assessed using the Symptom Checklist-90 (SCL-90) and verbal fluency tasks combined with functional near-infrared spectroscopy (VFT-fNIRS), while their work stress level was evaluated using the Personal Stress Questionnaire (PSQ) and Personal Resources Questionnaire (PRQ). The results indicated significantly higher brain activities in the right dorsolateral prefrontal cortex and bilateral Broca’s areas of the R&D group compared to the sales group. The R&D group had significantly lower scores in the total score and multiple dimensions of SCL-90, such as somatization, obsession-compulsion, depression, anxiety, hostility, and paranoia. In addition, the R&D group exhibited significantly lower psychological and physical tension reactions compared to the sales group in PSQ. Based on the PRQ, the R&D group obtained significantly higher scores in self-care compared to the sales group. In conclusion, the mental health status of the R&D group is better than that of the sales group, the difference in self-care may be the most important factor leading to the difference in work stress and mental health of the two groups, VFT-fNIRS might be used to assist in detecting the mental health status of employees.

Evaluation of absenteeism and presenteeism status of factory employees.

While absenteeism refers to not attending work, presenteeism is defined as not being present at work. These two conditions, which negatively affect employee health, can be indicators of work efficiency, work peace, work safety and work engagement. Several factors were evaluated in this study concerning absenteeism and presenteeism among factory workers. This cross-sectional study was conducted among workers in a factory operating in a heavy industry in southern Turkey in 2021. A survey consisting of 57 questions was applied to 152 factory workers by face-to-face interview method. The participants' behaviour over the last month was evaluated regarding absenteeism and presenteeism. It was reported that 24 (15.8%) of all employees were absent from work in the last month (absenteeism), excluding holidays and sick leave, and that 20 (13.2%) employees engaged in presenteeism, working when they should not have been at the workplace. There was a high absenteeism rate among employees who had an acute illness and were dissatisfied with their jobs. Several factors have been associated with presenteeism, including poor economic conditions, family health problems, previous unemployment, working overtime, job dissatisfaction, poor relationships with colleagues and difficulty finding a replacement, acute illness, sleep problems and fatigue. To increase the productivity and commitment of employees, it may be useful to identify the reasons for absenteeism and present behaviours, to facilitate effective interpersonal communication skills by examining the organisational climate of employees, and to regulate workload based on a comprehensive assessment of the health status of employees.

Real-World Outcomes of a Digital Behavioral Coaching Intervention to Improve Employee Health Status: Retrospective Observational Study.

Chronic noncommunicable diseases (NCDs) account for major disability and premature mortality worldwide, with low- and middle-income countries being disproportionately burdened. Given the negative impact of NCDs on employee performance and work productivity, there is a rising need for stakeholders to identify effective workplace solutions that can improve employee health outcomes. As the workplace becomes more dispersed post pandemic, digital behavioral coaching offers a scalable, personalized, and cost-effective method of managing chronic disease risk factors among employees. This study aimed to retrospectively evaluate the impact of a digital behavioral coaching program on year-to-year changes in employee health status in a cohort of Indonesian employees. This retrospective real-world exploratory analysis of secondary health data followed 774 employees of an Indonesian company who completed company-sponsored health screenings between 2021 and 2022 and were given access to Naluri (Naluri Hidup Sdn Bhd), a holistic digital therapeutics platform offering digital behavioral health coaching and self-help tools. Participants were retrospectively classified as those who received active coaching (n=177), passive coaching (n=108), and no coaching (n=489). Linear mixed-effects models were used to evaluate the year-to-year changes in health outcomes across the 3 employee groups, with post hoc analyses evaluating within-group differences between the 2 time points and between-group differences at follow-up. Significant time×group interaction effects were detected for body weight, BMI, hemoglobin A1c, low-density lipoprotein, total cholesterol, and systolic and diastolic blood pressure. Post hoc pairwise comparisons revealed significant improvements in hemoglobin A1c (mean difference [Mdiff]=-0.14, P=.008), high-density lipoprotein (Mdiff=+2.14, P<.001), and total cholesterol (Mdiff=-11.45, P<.001) for employees in the Active Coaching group between 2021 and 2022, with the other 2 groups reporting deteriorations in multiple health outcomes throughout the 2 time points. At follow-up, those who received active coaching between 2021 and 2022 reported significantly lower body weight (P<.001), BMI (P=.001), low-density lipoprotein (P=.045), and total cholesterol (P<.001) than the No Coaching group. This study demonstrates real-world outcomes and implications supporting the use of workplace digital behavioral coaching in improving employee health status. Given the rising burden of NCDs in the Southeast Asian region, our findings underscore the role that workplace digital health interventions can play in preventing and managing chronic disease risk factors.

Working condition and health status of employees of the aviation enterprise

Objective: a hygienic assessment of working conditions and an analysis of the morbidity of aircraft workers.Materials and methods: the study was carried out on the basis of data from the Office of the Federal Service for Supervision of Consumer Rights Protection and Human Well-Being in the Republic of Tatarstan (Tatarstan) and the Center for Occupational Pathology Scientific and Clinical Center for Preventive Medicine of the Institute of Fundamental Medicine and Biology of the Kazan (Volga Region) Federal University.Results: hygienic monitoring of the working conditions of employees of the aviation plant showed a combined effect of harmful factors of the production environment and the labor process, corresponding to classes 3.1–3.2 in a number of professions. Among the diseases identified in employees of the enterprise, diseases of the eye and its accessory apparatus, circulatory organs and hearing predominate. According to the results of the medical examination, 6.4% of the subjects were found to have a suspicion of occupational chronic bilateral sensorineural hearing loss.Conclusions: research results indicate that there is a risk of developing occupational pathology as a result of exposure to physical factors. The employer was given recommendations to improve working conditions and preserve the health of workers.

Working conditions and health status of employees of individual law enforcement agencies of the Russian Federation

Introduction. The health of employees of the Russian law enforcement agencies is one of the factors of the success of their professional activities. The activities of law enforcement officers often take place in an extreme situation, due to the suddenness of emergency situations, lack of time to make decisions, a high degree of responsibility for the lives of other people, and the intensity of physical and psycho-emotional overloads. Therefore, at present, the problem of professional health of employees of law enforcement agencies is attracting attention. The study aims to assess the factors of professional activity and health status of employees of individual law enforcement agencies of the Kaliningrad region. Materials and methods. Using the random sampling method, the researchers formed three groups from among employees Using the random sampling method, the researchers formed three groups from among employees of the internal affairs bodies and the Federal Service of the National Guard Troops who are on medical care at the Federal Medical Institution "Ministry of Emergency Situations of the Ministry of Internal Affairs of Russia in the Kaliningrad region." The experts analyzed the registration form No. 025/u (medical card of a patient receiving outpatient medical care) of these groups of employees of individual law enforcement agencies of the Kaliningrad region. Results. Chronic diseases of the musculoskeletal system and injuries are the dominant pathology of employees of the law enforcement agencies of the Kaliningrad region who are on medical care at the Federal Medical Institution "Ministry of Emergency Situations of the Ministry of Internal Affairs of Russia in the Kaliningrad region." Along with acute respiratory diseases, which most often lead to temporary disability, the above pathology causes a prolonged absence of employees in the relevant units, which makes it difficult to fulfill the assigned service and combat tasks to ensure law and order. Conclusion. Extreme factors of service in the vast majority of cases have a negative impact on the health of persons performing service and combat missions. The dominant pathology of employees is chronic diseases of the musculoskeletal system and connective tissue and injuries.

Quantitative Inquiry on Employees' Mental Health Status, Job Satisfaction, and Organizational Commitment of a State University in Central Luzon, Philippines

The study aimed to determine the job satisfaction, organizational commitment, and mental health status of employees of a state university. More so, it sought to assess the significant difference in the employees' level of job satisfaction, organizational commitment, mental health status according to their profile. In addition, the relationship of these variables was also analyzed. The study utilized a descriptive quantitative approach to identify the level of job satisfaction, organizational commitment, and mental health status of the 384 conveniently selected employees of a state university in Central Luzon, Philippines. Descriptive and inferential statistics were employed in analyzing the collected data through Statistical Package Social Science (SPSS) version 23 software. The study found out the employees of a state university differ on their job satisfaction, organizational commitment and mental health status, when grouped according to their profile. The study also inferred that there is an inverse correlation between the employees’ mental health status and their satisfaction; and on the employees’ organizational commitment and their mental health status. Conversely, the study implied that as satisfaction of employees increases, their organizational commitment also increases.

Design of a prognostic model for assessing the risk of developing asbestosis based on the results of molecular genetic studies

Introduction. Preventive measures, including the development of a system for diagnosing early signs of changes in the health status of employees and predicting individual risks of developing the disease, aimed at preserving labor resources, reducing disability and extending working life expectancy, are an absolute priority in the field of occupational safety.&#x0D; The aim of the study to develop a prognostic model of the risk of developing asbestosis based on molecular genetic studies in employees of enterprises for the extraction and enrichment of chrysotile asbestos.&#x0D; Materials and methods. Based on studies previously conducted in the Laboratory of Biomedical Research at the Izmerov Research Institute of Occupational Health, scientists have identified a set of informative and significant single-nucleotide polymorphic gene variants for use as predictors in the construction of a prognostic model in the development of asbestos in workers of enterprises for the extraction and enrichment of chrysotile asbestos. We examined 136 people who worked at the enterprise for the extraction and enrichment of chrysotile asbestos. The researchers formed two groups comparable in terms of work experience, dustiness, age and gender: 68 former employees of the main production specialties with an established diagnosis of asbestos and 68 workers without bronchopulmonary pathology.&#x0D; The authors calculated the exposure dose of chrysotile-containing dust and calculated it taking into account the percentage of time spent at the workplace, and also performed a molecular genetic study of single-nucleotide polymorphic variants of the genes IL-1β rs16944, IL-4 rs2243250, TGF-β1 rs1800471, SOD-2 rs4880 and MMP-9 rs17576.&#x0D; Results. A predictive model has been developed to determine the probability of developing asbestosis in workers of an enterprise for the extraction and enrichment of chrysotile asbestos based on the determination of single nucleotide polymorphisms IL-1β rs16944, SOD-2 rs4880 and MMP-9 rs17576. The results of genetic tests are entered into the formula and if the resulting probability of developing asbestosis is equal to or higher than the threshold (0.582), the employee is included in the high-risk group. The sensitivity and specificity of the developed model were 70.1% and 70.6%, respectively.&#x0D; Conclusion. Molecular genetic indicators can act as predictors in the development of asbestosis in workers of the chrysotile extraction and enrichment industry and can be used to form high-risk groups during preventive measures.&#x0D; Ethics. The study was conducted in compliance with ethical standards that guarantee respect for all research subjects and the protection of their health and rights in accordance with the requirements of the Helsinki Declaration of the World Medical Association. All persons included in the study gave informed voluntary consent to the examination in accordance with Federal Law No. 323-FZ dated 11/21/2011 "On the Basics of Public Health Protection in the Russian Federation". The study was approved by the conclusion of the local Ethics committee of Izmerov Research Institute of Occupational Health (minutes of the meeting of the Ethics committee of Izmerov Research Institute of Occupational Health No. 9 dated 11/29/2016).

Investigating the effect of workplace noise exposure on cardiovascular disease risk factors in a power plant industry: A case-control study.

Occupational noise exposure is a significant health problem. In addition to hearing impairments, noise as a stressor may cause cardiovascular problems. This study aimed to investigate the effect of exposure to workplace noise on cardiovascular disease risk factors. This case-control study was conducted in 2021 in a power plant in Iran. In this study, the health status of 406 employees in both exposed (n = 203) and non-exposed (n = 203) to noise groups was examined for cardiovascular disease risk factors. Also, the trend of changes in the studied variables from 2012 to 2020 in exposed employees was examined. Data were collected from participants' annual physical examinations and occupational noise exposure measurements. To measure the noise in the present study, the KIMO-DB300 noise level meter was used. Data were analyzed in SPSS-26 software. The results revealed that mean fasting blood sugar (FBS), triglyceride, liver enzyme (SGOT), blood pressure, and body mass index were significantly different in the two groups (p-value<0.05). There was no significant difference in the mean of creatinine, cholesterol, and liver enzyme (SGPT) between the two groups (p-value>0.05). In the exposed group, the mean of all studied variables except diastolic blood pressure was statistically different during the study years (p-value<0.05). This study demonstrates that exposure to noise above the permissible level can affect the cardiovascular disease risk factors, so it is recommended to apply engineering and management measures like using Hearing Conservation Programme (HCP) to reduce the risk of these diseases with periodically assessing the health status of employees and timely diagnosis.

Research on the Impact of Mental Health on Employee Resignation and Strategies for Enhancing Workplace Well-Being

Psychological health issues not only affect individuals worldwide but also have an impact on many organizations. Research evidence indicates a close connection between the rising employee resignation rates within organizations and the mental health status of employees. Taking an organizational perspective and drawing from relevant organizational behavior and psychology literature, this paper studied the influence of individual psychological health on resignation behavior to demonstrate how organizational strategies interact with mental health, affecting the dynamic relationship between individual employees and the organization as well as the outcomes of these dynamics. Subsequently, this paper provides recommendations for improving workplace well-being and reducing resignation rates. The organization should invest substantial efforts to consider employees mental health and establish a supportive working environment to reduce resignations directly and indirectly caused by psychological problems, therefore maintaining the sustainable operation of the organization, and articulating the research objectives. Ultimately, it emphasizes that organizations should investigate effective strategies that prioritize mental health and retain talent.

Assessment of working conditions and health conditions of employees of non-ferrous metallurgy enterprises

The production conditions of non-ferrous metallurgy enterprises can be characterized by a high severity of the labor process due to excessive physical exertion, constant exposure to intense noise, increased vibration levels; inhalation of industrial aerosols, dust and chemicals; exposure to unfavorable industrial microclimate. The most common types of professionally conditioned and occupational pathology in employees of non-ferrous metallurgy departments are sensorineural hearing loss, vibration disease, radiculopathy, lung and upper respiratory tract diseases, diseases of the musculoskeletal system.&#x0D; In order to summarize the information and identify the peculiarities of working conditions and health status of employees of non-ferrous metallurgy enterprises, the researchers analyzed the relevant scientific literature on the bibliographic databases Scopus, Web of Science, MedLine and RSCI using theoretical methods of scientific cognition.&#x0D; The most intense impact of production factors is characterized by the working conditions of workers of underground divisions of non-ferrous metallurgy enterprises.&#x0D; At the same time, the presence of a specific chemical factor associated with exposure to dust and gas mixtures and aerosols of non-ferrous metals causes the development of morbidity in workers of metallurgical industries for processing and enriching raw materials of non-ferrous metals with toxic alveolitis, bronchial asthma, malignant neoplasms, diseases of the skin and subcutaneous tissue, blood and central nervous system. In this regard, at non-ferrous metallurgy enterprises, when planning a set of preventive measures, the identification of groups of diseases associated with working conditions and caused by the presence of a specific chemical factor of exposure to dust and gas mixtures and aerosols of non-ferrous metals should be considered a necessary condition for preserving the health of workers.&#x0D; Ethics. This study did not require the conclusion of the ethics committee.

Health status of coal industry workers

Health status of coal industry workers

Occupational risk factors of damage to the health of workers engaged in the management of technological transport of a mining enterprise

The problem of preserving the health of workers engaged in the management of technological transport of a mining enterprise is relevant due to the lack of information about working conditions, the state of health of workers and the risk of their health disorders in the form of occupational (vibration disease, sciatica of the lumbosacral region, sensorineural hearing loss) and professionally caused diseases (vertobrogenic lumboishalgia, arterial hypertension), which it requires the development of targeted measures to improve working conditions and preserve the health of employees. The results of the study of working conditions and health status of employees engaged in the management of technological transport of a mining enterprise are presented. The assessment of working conditions at 60 workplaces was carried out, the state of health was studied according to periodic medical examinations of 221 employees. It has been established that harmful working conditions corresponding to class 3.2 lead to the formation of occupational pathology and an increase in the frequency of diseases of the musculoskeletal system and circulatory system, which requires the development and implementation of preventive measures.

The Relationship between Physical Activity and Life Satisfaction among Omani Teachers

Teachers' health habits can have an impact on their students. Despite this, few studies have been conducted to investigate teacher physical activity and its relationship to life satisfaction. The prevalence of obesity has steadily increased over the years. Among both genders, the age-adjusted prevalence of being overweight or obese is higher among Omani participants across time. This study looks into how physical activity relates to life satisfaction among Oman's teachers. Some 671 teachers (40.3% male; 59.7% female) aged 20-50 years took part in the survey. Participants were recruited using a Google form survey. SPSS statistical tools were used to analyse the collected data. According to the findings, Physical Activity has a significant positive correlation with life satisfaction. The findings also revealed that gender influenced Omani teacher life satisfaction, with female teachers having higher life satisfaction than males. This study found no significant differences in life satisfaction based on age or Body Mass Index (BMI). This study was intended for use in public schools. More research can be conducted in both private and public schools. In sum, health promotion professionals might develop plans to improve employee health status if they had a better grasp of impact of factors associated with physical activity participation. As a result, there will be improvement in worker life satisfaction, which is considered to be a cognitive component of subjective well-being.

Assessment of nutrition and risks of development of the main general pathological syndromes in workers at industrial enterprises

Optimal nutrition is one of the foundations of public health, but before developing and implementing effective programs to improve the nutrition of the able-bodied population at the regional and corporate level, it is important to know the nutritional situation of the target group. The study aims to assess the nutrition and risks of the development of the main general pathological syndromes in workers of industrial enterprises of the Republic of Buryatia. The study was conducted among male workers (n=251) aged 20-64 years, working at an Aircraft factory (group 1, n=71) with an average work experience of 19.72 (16.11; 23.33) years and thermal power plants (group 2, n=72) with an average work experience of 17.00 (13.68; 20.32) years. The comparison group (group 3, n=108) includes workers from the same enterprises without contact with occupational hazards, the average length of service is 19.79 (17.11; 22.48) years. Experts have carried out a nutrition assessment by the questionnaire method, followed by the use of the 24-hour power reproduction method in a computer program. The criteria for dividing into subgroups for assessing actual nutrition were based on the calculation of body mass index and age. We used an automated system for quantifying the risks of major general pathological syndromes (ASQRAS) to assess the health status of employees. Scientists analyzed the results of the study using generally accepted statistical methods. It is shown that the nutrition structure of workers in the main industries of the Republic of Buryatia is suboptimal, characterized by the predominance of the specific weight of total fats, which amounted to 41.03-45.25% of the caloric content of diets mainly due to the high proportion of saturated fatty acids 13.18-14.78%, low proportion of total carbohydrates 38.22-41.09% and critically low dietary fiber content - 2.31-2.50g per 1000 kcal. The obtained significant associations between overweight and various degrees of obesity with the risk of developing nutrition-related diseases, according to ASQRAS results in workers working in harmful conditions at thermal power plants, are probably due to a higher lipid content in their diet (χ2=7.04; p=0.001). The results of this study can be used to substantiate nutrition recommendations at the regional and corporate level. Limitations. The study had certain limitations in the form of survey opportunities, subject to the subjective opinion of respondents. Ethics. The researchers conducted a study in compliance with the Ethical principles set out in the Helsinki Declaration of the World Medical Association of the last revision and the approval of the Local Ethics Committee of the East Siberian Institute of Medical and Environmental Research (conclusion No. 1 of January 14, 2021).

Impact of the industrial environment on the health of workers in titanium and magnesium production

The results of a study of the health status of employees of metallurgical enterprises under the conditions of exposure to rare earth elements (on the example of employees of titanium and magnesium production) are presented. 107 workers (men) of the observation group exposed to harmful production factors and 72 employees of the administrative apparatus without exposure to harmful production factors were examined. An analysis of the working conditions of workers, research on the content of rare earth elements in the air of the working area and in bioassays, and a sociological survey were carried out. The general clinical, biochemical, immunological parameters of the blood of workers in the titaniummagnesium production were studied. A functional study of the cardiovascular, respiratory, digestive, and nervous systems was performed. According to the results obtained, the final class of working conditions at the workplace corresponded to classes 3.1–3.3. Exceeding the MPC of rare earth elements and estimated safe exposure levels have not been identified. An increase in the content of europium, which can replace calcium and magnesium in the body, was found in the workers of the observation group. The revealed dysfunction of the autonomic nervous system and impaired adaptation of the body are formed as a result of exposure of workers in the titanium-magnesium production to a harmful production environment. Exposure of chemicals in workers causes a change in humoral immunity in the form of hyperproduction of IgA, and with an experience of more than 5 years, activation of cellular immunity (increased absolute phagocytosis, CD16+56+ and CD3+25+). Recorded changes in the parameters of rhinomanometry and spirography in the observation group may indicate the presence of the process of aseptic inflammation in the airways under the combined effect of irritating chemicals and rare earth elements. Low-symptomatic or asymptomatic liver damage, characterized by non-specific structural changes (hepatomegaly, increased echogenicity) and a laboratory symptom complex of a simultaneous increase in AlAt and AsAt, LDH. The emerging dysfunction of the cardiovascular and respiratory systems is transformed into cardiorespiratory and hepatopulmonary pathology, increasing the risk of sudden death. The combined impact of production factors «rejuvenates» the age of formation of production-related and occupational diseases, contributes to the loss of professional working capacity by employees even before retirement age.

Development of a set of priority measures for the integration of tools for assessing working conditions for the formation of occupational risk levels

Introduction. The increase in life expectancy, a decrease in mortality rates of the working-age population requires the development of a set of priority measures and justification of their effectiveness in the occupational risk management system based on the transition to a personalized assessment of working conditions and the health status of employees. The study aims to develop a set of priority measures to integrate tools for assessing working conditions and to justify their effectiveness in the occupational risk management system to determine the levels and groups of occupational risks in the workplace, depending on the complex of harmful and/or dangerous factors of the production environment and the labor process and the health status of employees. Materials and methods. The researchers have conducted the analysis of qualitative and quantitative indicators of occupational risk, including indicators of health disorders of employees. We have analyzed the materials of periodic medical examinations to substantiate the algorithm for the formation of risk groups for the development of occupational diseases. Scientists have performed a cross-epidemiological study to assess the risk of developing chronic general somatic diseases in workers. We have calculated the indicators of the total risk of fatal cardiovascular diseases. Experts have studied the features of the current situation with indicators of occupational morbidity in the Russian Federation. Results. There are two groups of qualitative and quantitative indicators at the level of state supervision and enterprise, which allow assessing the effectiveness of the risk management system. Scientists have identified qualitative and quantitative indicators for early detection of violations in the employee's body from the effects of production factors. We have substantiated the algorithm and criteria for the formation of risk groups for the development of occupational diseases. Assessment of the risk of developing general somatic diseases in workers with constant exposure to high levels of harmful factors: vibration, severity and labor intensity, showed a high prevalence and increased risk of diseases of the endocrine, musculoskeletal and circulatory systems, as well as a significant increase in these indicators with an increase in work experience in harmful working conditions, which allows us to consider these diseases as production-related diseases. Individuals with endocrine diseases are significantly more likely to have a very high, high and medium overall risk of developing fatal cardiovascular diseases (CVD). With an increase in work experience, the percentage of people at high risk of developing fatal CVD increased. The level of occupational morbidity calculated for the number of employees employed in harmful working conditions is 32% higher than the indicator calculated for all employees of the enterprise. A similar recalculation of occupational morbidity indicators for individual nosologies also completely changes the picture. Conclusion. We have substantiated the necessity of transition to a personalized assessment of occupational risk among employees. Researchers have developed proposals for adjusting legislation in order to integrate tools for assessing working conditions and improving the effectiveness of the occupational risk management system. Ethics. This study did not require the conclusion of the Ethics committee.

Health risk assessment of exposure to ambient formaldehyde in carpet manufacturing industries.

Formaldehyde is categorized as a definitive carcinogen by the International Agency for Research on Cancer. To the best of our knowledge, no study has assessed the health risks of occupational exposure of workers in carpet manufacturing plants to formaldehyde. Therefore, this study assesses the health risks of the occupational exposure to formaldehyde of 67 male workers in carpet manufacturing plants in Iran in 2022. Exposure to formaldehyde was quantitatively determined after collecting personal exposure samples from the workers' respiratory zone and spectrophotometric analysis based on method number 3500 of the National Institute of Occupational Safety and Health. In the next step, the carcinogenic and noncarcinogenic risks based on personal exposure to formaldehyde were evaluated. Sensitivity analyses were employed using the Monte Carlo simulation method. The mean inhalation exposure of workers to formaldehyde was 0.636 mg m-3. The inhalation cancer risk value based on the integrated risk information system for formaldehyde was 4.06×10-4 ± 3.17×10-5 (mean ± standard deviation), which exceeded the value reported by the US Environmental Protection Agency. An unacceptable carcinogenic risk level was found in 75.6% of workers. The highest mean inhalation cancer risk was 6.74×10-4 (i.e., 6.74 additional cases per 10,000 employees exposed) was found in sizing post employees. The hazard quotient of formaldehyde was 0.311±0.024. The formaldehyde concentration had a considerable effect on the health risk. The findings of this study provide valuable scientific information that supports the development of future policies to enhance the health status of employees in carpet manufacturing plants.

ОЦЕНКА ВЛИЯНИЯ АРТЕРИАЛЬНОГО ДАВЛЕНИЯ НА ПСИХОФИЗИОЛОГИЧЕСКУЮ АДАПТАЦИЮ РАБОТНИКОВ ПРЕДПРИЯТИЯ ГОСКОРПОРАЦИИ «РОСАТОМ»

Purpose: Establishing cause-and-effect relationships between psychophysiological adaptation (PFA) and the health status of employees of the enterprise of the State Corporation Rosatom. Material and methods: The materials of the study were data on 591 employees of the enterprise of the State Corporation Rosatom who underwent a psychophysiological examination. To analyze the impact of an employee’s health on the level of psychophysiological adaptation (PFA), a methodology was developed for assessing the cause-and-effect relationships between PFA and the level of blood pressure of employees of the Rosatom State Corporation. The methodology is based on the assessment of the relative risk of influence on the PFA of blood pressure in employees of the Federal State Unitary Enterprise Combine Elektrokhimpribor. In this methodology, risk is defined as the probability of assigning employees of enterprises to one of the three PFA groups. The age heterogeneity of the PFA groups was taken into account, and standardization was carried out for this indicator. Results: This technique was tested on the database of 591 workers who underwent a psychophysiological examination and had information about systolic blood pressure (SBP), diastolic blood pressure (DBP). The possibility of the developed methodology for assessing the relative risk of the influence of blood pressure on the PFA of the employees of the enterprise is shown. The constant increase in the relative risk from group to group of PFA indicates the likelihood of the influence of SBP, DBP on the psychophysiological adaptation of workers who underwent PFA. Conclusion: The use of this methodology for assessing the risk of damage to health as a tool for medical examination and substantiation of effective management decisions allows: to carry out correct medical and social measures for the rehabilitation of workers with low PFA; develop mechanisms and strategies for various medical and social measures to reduce risk; to obtain quantitative characteristics of the impact of illnesses of employees of enterprises on PFA; to reduce the uncertainties of the analysis in the decision-making process to preserve the health of the serviced contingent of workers; identify under specific conditions the groups of workers who are most likely to be classified in a group with a low PFA; determine the priorities of medical and social measures in the field of health protection at the level of a healthcare institution; qualitatively and quantitatively characterize the levels of risk that have persisted after the application of measures to reduce it. When carrying out rehabilitation measures for this group of people, it is necessary to pay serious attention to workers with high rates of SBP, DBP.