The use of digital technologies in social and hygienic monitoring of the health status of workers in harmful working conditions

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Abstract

Introduction. To increase the effectiveness of social and hygienic monitoring of the health status of workers in harmful and/or dangerous occupation conditions by objectifying the analysis of the health status of workers and timely detection of premorbid forms of pathology, an informational medical advisory and diagnostic system is proposed that ensures the efficiency of using the previously developed methodological recommendations MR 2.2.9.0148-19 “Assessment of the risk of developing states of distress in workers in harmful working conditions”.

Materials and methods. The design of the developed software is based on the principles of critical assessment of the employee’s health status; multiparametric characteristics of the functional reserves of the body; unity of the information base; the possibility of dynamic monitoring of the health status of employees; automation of data storage and analysis; protection of personal data.

Results. The method used by the information system is based on a comprehensive assessment of the functional reserves of the body, correlated by the degree of adaptive stress, including the ranking of the employee health status according to the group of dispensary records, the indicator of adaptive compliance and the level of adaptive immunity. To facilitate the operator’s information support system integrated the List of harmful and (or) hazardous occupation factors, the presence of which is a mandatory preliminary and periodic medical examinations (surveys) and reference weight values, heart rate and blood pressure corresponding to the physiological norm concerning gender and age of the employee.

Conclusion. The proposed information system can be used during periodic medical examinations to form risk groups for the development of occupational and production-related morbidity, as well as to assess the effectiveness of hygienic and therapeutic and preventive measures aimed at improving the health of workers in harmful occupation conditions.

Contribution:

Bezrukova G.A. — the concept and design of the study, writing a text, editing;

Pozdnyakov M.V. — software product structure development;

Novikova T.A. — collection and processing of material, writing a text.

All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The study had no sponsorship.

Received: July 7, 2021 / Accepted: September 28, 2021 / Published: October 31, 2021

About the authors

Galina A. Bezrukova

Saratov Hygiene Medical Research Center of the Federal Scientific Centre for Medical and Preventive Health Risk Management Technologies

Author for correspondence.
Email: bezrukovagala@yandex.ru
ORCID iD: 0000-0001-9296-0233

MD, PhD, DSci, chief researcher of the Department of occupational medicine of the Saratov Hygiene Medical Research Center of the Federal Scientific Centre for Medical and Preventive Health Risk Management Technologies, Saratov, 410022, Russian Federation.

e-mail: bezrukovagala@yandex.ru

Russian Federation

Mikhail V. Pozdnyakov

Saratov Hygiene Medical Research Center of the Federal Scientific Centre for Medical and Preventive Health Risk Management Technologies

Email: noemail@neicon.ru
ORCID iD: 0000-0002-2067-3830
Russian Federation

Tamara A. Novikova

Saratov Hygiene Medical Research Center of the Federal Scientific Centre for Medical and Preventive Health Risk Management Technologies

Email: noemail@neicon.ru
ORCID iD: 0000-0003-0366-856X
Russian Federation

References

  1. Roslaya N.A., Bazarova E.L. Modern trends in assessing the impact of harmful professional factors on the health of the working population. In: Demographic and family policy in the context of the Sustainable Development Goals [Demograficheskaya i semeynaya politika v kontekste tseley ustoychivogo razvitiya]. Yekaterinburg; 2018: 652–64. (in Russian)
  2. Izmerov N.F., Bukhtiyarov I.V., Prokopenko L.V., Izmerova N.I., Kuzmina L.P. Labor and Health. Meditsina truda i promyshlennaya ekologiya. 2014; (6): 42–3. (in Russian)
  3. Morozov V.N., Khadartsev A.A. To modern treatment of stress mechanisms. Vestnik novykh meditsinskikh tekhnologiy. 2010; 17(1): 15–8. (in Russian)
  4. Torgashov M.N., Myakotnykh V.S. Some pathogenetic mechanisms of stress-induced pathology. Vestnik Ural’skoy meditsinskoy akademicheskoy nauki. 2016; 57(2): 64–74. https://doi.org/10.22138/2500-0918-2016-14-2-64-74 (in Russian)
  5. Agadzhanyan N.A., Baevskiy R.M., Berseneva A.P. The problem of adaptation and the doctrine of health [Problema adaptatsii i uchenie o zdorov’e]. Moscow: RUDN; 2006. (in Russian)
  6. Selye H. The Story of the Adaptation Syndrome. Montreal; 1952.
  7. Spirin V.F. Bezrukova G.A. Pathophysiologic aspects of occupational diseases development and laboratory diagnosis (review of literature). Meditsina truda i promyshlennaya ekologiya. 2003; (11): 7–13. (in Russian)
  8. Todorov I.N., Todorov G.I. Stress, aging and their biochemical correction [Stress, starenie i ikh biokhimicheskaya korrektsiya]. Moscow: Nauka; 2003. (in Russian)
  9. Kurzanov A.N., Zabolotskikh N.V., Kovalev D.V., Buziashvili L.A. Improving the assessment of functional reserves of the body is a priority direction for the development of prenosological diagnosis of premorbid conditions. Mezhdunarodnyy zhurnal eksperimental’nogo obrazovaniya. 2015; (10–1): 67–70. (in Russian)
  10. Petrova P.G. Ecological and physiological aspects of human adaptation to the conditions of the North. Vestnik Severo-vostochnogo federal’nogo universiteta im. M.K. Ammosova. Seriya «Meditsinskie nauki». 2019; (2): 29–35. https://doi.org/10.25587/SVFU.2019.2(15).31309 (in Russian)
  11. Khodzhiev M., Prokopenko L.V., Golovkova N.P., Tikhonova G.I., Fesenko M.A. Adaptation of the migrant worker’s body to the occupational risk factors from the position of functional system of P.K. Anokhin. Analiz riska zdorov’yu. 2016; (4): 107–18. https://doi.org/10.21668/health.risk/2016.4.12 (in Russian)
  12. Andryukov B.G., Antonyuk M.V., Andryukov I.B. Computer program «Information system for monitoring the state of individual health of military personnel». Zdorov’e. Meditsinskaya ekologiya. Nauka. 2012; (1–2): 171–2. (in Russian)
  13. Podushkina I.V., Kvasov S.E., Abanin A.M., Matveeva V.V., Shchedrivyy A.V. Meta-analysis of possibilities of using software-hardware complexes for the study and evaluation of functional organism reserves of the people having dangerous jobs. Meditsinskiy al’manakh. 2016; (1): 10–3. (in Russian)
  14. Huang C.J., Webb H.E., Garten R.S., Kamimori G.H., Evans R.K., Acevedo E.O. Stress hormones and immunological responses to a dual challenge in professional firefighters. Int. J. Psychophysiol. 2010; 75(3): 312–8. https://doi.org/10.1016/j.ijpsycho.2009.12.013
  15. Igisheva L.N. Information systems in the comprehensive assessment and prognosis of the health status of school-age children. Mat’ i ditya v Kuzbasse. 2008; 32(1): 6–10. (in Russian)
  16. Zhukova T.V., Gorbacheva N.A., Avetisyan Z.E., Usova A.A., Gasparyan M.M. Comprehensive assessment of the actual age in the middle and older age groups. Zdorov’e naseleniya i sreda obitaniya. 2018; 302(5): 17–21. (in Russian)
  17. Healthnet. Information technology in medicine. 2019. Available at: https://academpark.com/upload/medialibrary/362/36244984677a893f2c2d4a0080de0105.pdf (in Russian)
  18. Bol’shakov A.M., Krut’ko V.N., Dontsov V.I. Possibilities of computer systems for assessment of prenosological changes of health. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2017; 96(11): 1115–8. https://doi.org/10.18821/0016-9900-2017-96-11-1115-1118 (in Russian)
  19. MR 2.2.9.0148-19. Assessment of the risk of developing states of distress in workers in harmful working conditions. Methodological recommendations. Moscow; 2019. (in Russian)
  20. Petrov E.A. Organizational and methodological bases of carrying out preliminary and periodic medical examinations of persons working in harmful and (or) dangerous working conditions. Meditsinskaya statistika i orgmetodrabota v uchrezhdeniyakh zdravookhraneniya. 2014; 5. https://base.garant.ru/57572804/ (in Russian)
  21. Kurnikova I.A. Method for assessing the functional reserves of the body. Patent RF № 2342900; 2009. (in Russian)
  22. Myznikov I.L., Marchenko V.V., Perminov D.G. Methods of informational research of white blood morphology. Zdorov’e. Meditsinskaya ekologiya. Nauka. 2013; 53(4): 21–6. (in Russian)
  23. Danilov A.N., Bezrukova G.A., Pozdnyakov M.V., Novikova T.A. Assessment of the risk of developing states of distress in workers in harmful working conditions. Author’s certificate RF № 2018610118; 2018. (in Russian)
  24. Methodological recommendations for ensuring the functionality of medical information systems of medical organizations. Available at: https://www.garant.ru/products/ipo/prime/doc/71238346/ (in Russian)

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