Evaluation of occupational risks of employees of the nuclear industry, according to a periodic medical examination and mandatory psycho-physiological examinations

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Abstract

The article is devoted to the assessment of occupational risks of employees of the nuclear industry. A literature review on currently used indices of occupational risks and working conditions on high-tech enterprises of the nuclear industry has shown that because of ther lack of occupational diseases related to exposure to ionizing radiation, and low level of industrial injuries, these indices are not appropriate for the inclusion in the evaluation of the individual professional risk. Classes of working conditions according to hazards and risk group health of the worker, work-related diseases and the level of allostatic load are sufficient for the practical assessment. The given formula for the calculation of the index of allostatic load according to psycho-physiological examinations as the part of the modern legislation is required to implement periodic medical examinations of workers of the nuclear industry. A developed one-dimensional multiparameter index and decision rules describe the level of the loss of health of the employee. The constructed regression model for classes of working conditions allows predict the level of losses of health of the employee. A risk matrix was developed for the evaluation of individual professional risk.

About the authors

Aleksandr F. Bobrov

A.I. Burnazyan Federal Medical Biophysical Centre

Author for correspondence.
Email: baf-vcmk@mail.ru
ORCID iD: 0000-0003-1683-6681

MD, PhD, DSci., professor,  Chief researcher of the A.I. Burnazyan Federal Medical Biophysical Centre, Moscow, 123182, Russian Federation.

e-mail: baf-vcmk@mail.ru

Russian Federation

N. A. Isaeva

A.I. Burnazyan Federal Medical Biophysical Centre

Email: noemail@neicon.ru
ORCID iD: 0000-0002-2208-1468
Russian Federation

M. Yu. Kalinina

State Corporation for Atomic Energy "Rosatom" (State Corporation «Rosatom»)

Email: noemail@neicon.ru
ORCID iD: 0000-0002-8798-5732
Russian Federation

V. Yu. Sedin

A.I. Burnazyan Federal Medical Biophysical Centre

Email: noemail@neicon.ru
ORCID iD: 0000-0003-1114-1119
Russian Federation

V. Yu. Shcheblanov

A.I. Burnazyan Federal Medical Biophysical Centre

Email: noemail@neicon.ru
ORCID iD: 0000-0002-1452-9445
Russian Federation

E. S. Shchelkanova

Centre for RW management in the Department of Andreev Guba.SPC "SevRAO"- branch of FSUE RosRAO

Email: noemail@neicon.ru
ORCID iD: 0000-0003-0672-8820
Russian Federation

References

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  2. Khrupachev A.G., Khadartsev A.A., eds. Professional Risk. Theory and Practice of Calculation [Professional'nyy risk. Teoriya i praktika rascheta]. Tula: TulGU; 2011. (in Russian)
  3. The results of the activities of the State Corporation for atomic energy «Rosatom» for 2014. Available at: http://www.osatom.ru/mediafiles/u/files/VIII_reg_forum_2015/Proekt_otcheta_GK_Rosatom_za_2014_god.pdf (in Russian)
  4. Baevskiy, R.M., Berseneva A.P. Introduction to Prenosological Diagnostics [Vvedenie v donozologicheskuyu diagnostiku]. Moscow: Slovo; 2008. (in Russian)
  5. Kaznacheev V.P., Baevskiy, R.M., Berseneva A.P. Prenosological Diagnostics in Practice of Mass Screening of the Population [Donozologicheskaya diagnostika v praktike massovykh obsledovaniy naseleniya]. Leningrad: Meditsina; 1980.
  6. Sterling P., Eyer J. Allostasis: A new paradigm to explain arousal pathology. Physiol. Behav. 1988; 106(1): 5–15.
  7. Juster R.P., McEwen B.S., Lupien S.J. Allostatic load biomarkers of chronic stress and impact on health and cognition. Neurosci. Biobehav. Rev. 2010; (35): 2–16.
  8. Bobrov A.F., Bushmanov A.Yu., Sedin V.I., Shcheblanov V.Yu. the System evaluation of the results of psychophysiological examinations. Meditsina ekstremal'nykh situatsiy. 2015; (3): 13–9. (in Russian)
  9. Koroleva S.V. Practical aspects of using the desirability function in medical-biological experiment. Sovremennye problemy nauki i obrazovaniya. 2011; (6). Available at: http://www.science-education.ru/100-5270 (in Russian)

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Copyright (c) 2024 Bobrov A.F., Isaeva N.A., Kalinina M.Y., Sedin V.Y., Shcheblanov V.Y., Shchelkanova E.S.



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