RESUMO
Evidence-based principles in occupational medicine should include prevention, diagnosis, treatment and rehabilitation. Specific feature of occupational medicine is necessity to prove cause-effect relationships between occupational factor and the disease emerged. Important place is occupied by cohort and intervention studies, systematic reviews and meta-analysis. Information obtained by scientific society should be presented to practical specialists and put into everyday activities.
Assuntos
Atenção à Saúde/organização & administração , Medicina Baseada em Evidências/métodos , Medicina do Trabalho/métodos , Humanos , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Saúde Ocupacional/normas , Saúde Ocupacional/tendências , Federação RussaRESUMO
The article covers analysis of regional occupational pathology service designed for primary medical and sanitary care for workers and specialized care in occupational pathology center. The authors proved cooperation between occupational pathology center and Occupational Pathology department of the Medical University to be optimal.
Assuntos
Doenças Profissionais , Serviços de Saúde do Trabalhador/organização & administração , Medicina do Trabalho/tendências , Programas Médicos Regionais , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle , Doenças Profissionais/reabilitação , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Serviços de Saúde do Trabalhador/tendências , Medicina do Trabalho/educação , Programas Médicos Regionais/normas , Programas Médicos Regionais/tendências , Federação Russa/epidemiologiaRESUMO
The studies covered changes in functional state of 42 programmers working at VGA. All the examinees reported subjective evaluation of fatigue and variational pulsometry before and after the work at VGA, those who worked at the display for 3 hours underwent blood pressure and pulse rate measurements (with subsequent calculation of several hemodynamic parameters) before and after the work. The researchers applied Major Components Method to obtain some integral parameters. The obtained values described initial state of cardiovascular system and changes in autocorellation of some BCG intervals. The fatigue was proved to occur by the end of the second working hour, and by the end of the third hour the examines demonstrated unfavorable changes of functional state (depression of heart activities and increased blood pressure). Only those who worked over 4 hours reported discomfort, so functional disorders appear earlier, than individuals detect them.