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Physiological and hygienic assessment of work conditions and state of health of electric train drivers and their assistants on Ukrainian Railway

ISSN 2223-6775 Український журнал з проблем медицини праці 2(63) 2020, Том.16, № 2, 2020

Physiological and hygienic assessment of work conditions and state of health of electric train drivers and their assistants on Ukrainian Railway

Yavorovskyi A.P.1, Tkachishina N.Yu.2, Kaznodiy A.V.1

https://doi.org/10.33573/ujoh2020.02.096

1 O.O.Bogomolets National Medical University, Kyiv

2 Kyiv Railway Clinical Hospital No2

Повна стаття (PDF), ENG

Introduction. At the present stage, workers of locomotive brigades perform the main function of the transport industry - uninterrupted movement of transportation of passengers and different loads with high responsibility. The technology of the productive process on railway determines availability of a combination of harmful factors at workplaces in the production environment and work processes.

The purpose of the study was to assess working conditions of electric train drivers (ETD) and their assistants by severity and intensity of the working process, harmfulness and danger of factors of the work environment; and, using modern methods of mathematical analysis to develop a prognostic model for a comprehensive assessment of the effect of harmful factors of the production environment and work process as risk factors in development of pathological changes in the body of workers, cardio-vascular diseases (CVD), in particular.

Materials and methods. Hygienic studies and assessment of work conditions were conducted in accordance with the normative documentation. Clinical and instrumental studies were performed with the use of modern diagnostic equipment. For prognostic assessing of development of pathology of the cardiovascular system (CVS), depending on the availability of individual clinical or production risk factors, a prognostic model of statistically significant risk factors has been developed with the assessment of their odds ratios and the following their generalization by principles of meta-analysis and determination of heterogeneity of the effect (Higgins's I2 test) on the health of workers.

Results. According to the results of studies on drivers and their assistants their work can be referred to Class 3.2., Hygienic Classification of Work, 2014. The degree of expressiveness of pathological changes in ETD and their assistants was determined in corresponding sub-groups depending on the work experience. The most predicted nosologies in workers were: hypertension, metabolic syndrome, nonalcoholic fatty liver disease as well as comorbid pathology on the background of vegetative disfunction, being the basis for development of hepatocardial continuum. A prognostic estimation is presented in relation to the increase of the reliability in developing pathology of the СVS. A differentiation of dispensary groups and corresponding medical measures for workers were undertaken depending on the work experience.

Conclusion. A wide implementation into practice of preventive measures, depending on the differentiation of dispensary groups, will enable to effectively decrease risks of developing pathological changes with account of the work experience.

Ключові слова: electric train drivers, work conditions, state of health

Література

  1. Alekseychuk O.Yu., Tkachishin V.S., Tkachishina N.Yu., Arustamyan O.M. (2014), “Peculiarities of working conditions of locomotive drivers and their assistants”, Dovkillya ta zdorovya, 4, 29-33.
  2. Tkachishin V.,S, Arustamyan O.,M, Tkachishina N.,Y, Alekseychuk O.,Y. (2015), “Sanitary and hygienic assessment of the production process of locomotive crews”, in Aktualʹni pytannya profilaktychnoyi medytsyny, Materials of Conference, Kyiv, Ukraine, 15-16.
  3. Alekseychuk O.Yu., Tkachishina N.Yu., Tkachishin VS, Arustamyan O.,M. (2015), “Working conditions and morbidity of locomotive drivers”, Aktualnye problemy transportnoi meditsiny, 4,17-32.
  4. Knytilo S.,S. etc. (2012), “Assessment of health railway workerswhose work is related on train safety movement”, Medytsyna transportu Ukrainy, 2, 66–67.
  5. Chernyuk V. I., Bobko N. A., Gadayeva D. O. (2018), Differences in blood circulation functioning in truck drivers related to age, experience and work regime”, Ukrainian Journal of Occupational Health 2, 20-28. https://doi.org/10.33573/ujoh2018.02.020
  6. Tkachishin V.,S, Alekseychuk O.,Y, Tkachishina N.,Y, Kanevsky O.,S. (2011), “Frequency of occurrence of pathological processes of internal organs among employees of locomotive brigades”, Medytsyna transportu Ukrainy, 2, 49-51.
  7. Korobchansky O., O, Grigoryan O.,V. (2018),“Morbidity analysis of workers performing high-risk work”, Ukrainian journal of medicine, biology and sports, 3 (6), 221-227.
  8. Kryukov N.,N, Gaberman O.,E. (2015), “Profession as a risk factor for cardiovascular diseases”, in Nepreryvnoye professional'noye obrazovaniyezalog povysheniya kachestva meditsinskoy pomoshchi v pervichnom zvene, Materials of Conference, Samara, 152-154.
  9. Viktorov V. S. et al. (2015), “Problems of prevention of the adverse effects of night work on the health of workers”,in Professiya i zdorov'ye, Materials of Conference of ХI All-Union Congress, (Moscow, 27-29 November 2012), Moscow, 116–118.
  10. Kozyaryn I.,P, Ivakhno O.,P, Dubova N.,F. (2014), “Overweight and its prevention”, in "Chornobyl: Ecology and Health", 71-83.
  11. Troshina M. Yu. (2013), “Organization of rational nutrition of railways workers, requirements for the range of products”, Sovremennyye problemy nauki i obrazovaniya, 1, 1–9.