WORKING AND HEALTH LECTURE FOR MEDICAL STUDENTS WORK

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WORKING AND HEALTH LECTURE FOR MEDICAL STUDENTS

WORKING AND HEALTH LECTURE FOR MEDICAL STUDENTS

WORK IS ENNOBLIG n n - TO BE EMPLOYED HELPS TO FIND THE CREDIT

WORK IS ENNOBLIG n n - TO BE EMPLOYED HELPS TO FIND THE CREDIT WITHIN THE SOCIETY UNEMPLOYMENT IS ASSOCIATED WITH: POVERTY, DEPRIVATION BARRENNESS

HEALTH CONSEQUENCES n n n WORSE LIFESTYLE (MALNUTRITION, ALCOHOLISM, SMOKING, DRUGS ABUSE, POOR HYGIENE)

HEALTH CONSEQUENCES n n n WORSE LIFESTYLE (MALNUTRITION, ALCOHOLISM, SMOKING, DRUGS ABUSE, POOR HYGIENE) PSYCHOSOMATIC DISEASES PSYCHIATRIC MORBIDITY

WORK AS A HEALTH RISK n - - OCCUPATIONAL D. : MAINLY AMONG WORKERS

WORK AS A HEALTH RISK n - - OCCUPATIONAL D. : MAINLY AMONG WORKERS CAUSE SPECIFIC OCCUPATIONAL EXPOSURE IS ESSENTIAL n - - WORK-RELATED D. : LARGELY IN THE POPULATION MULTIFACTORIAL OCCUPATIONAL EXPOSURE MAY BE A FACTOR

THE SOCIAL APPROACH n - OCCUPATIONAL D. : NOTIFABLE COMPENSABLE n - WORK-RELATED D.

THE SOCIAL APPROACH n - OCCUPATIONAL D. : NOTIFABLE COMPENSABLE n - WORK-RELATED D. : MAY BE NOTIFABLE MAY BE COMPENSABLE

OCCUPATIONAL HAZARDS n - - FACTORS: MECHANICAL HEAVY PHYSICAL LOAD n - - OUTCOMES:

OCCUPATIONAL HAZARDS n - - FACTORS: MECHANICAL HEAVY PHYSICAL LOAD n - - OUTCOMES: ACCIDENTS, INJURIES MUSCULOSCELETAL DISORDERS, INJURIES, LOW BACK PAIN

OCCUPATIONAL HAZARDS n ERGONOMIC n MONOTONY n n n MUCSULOSCELETAL DISORDERS (D. FROM REPEATED

OCCUPATIONAL HAZARDS n ERGONOMIC n MONOTONY n n n MUCSULOSCELETAL DISORDERS (D. FROM REPEATED OVERLOAD) MENTAL STRESS, LOWERED QUALITY AND PRODUCTIVITY D. FROM REPEATED OVERLOAD

PHYSICAL HAZARDS n NOISE n n n VIBRATION RADIATION EXTREME MICROCLIMATE n n n

PHYSICAL HAZARDS n NOISE n n n VIBRATION RADIATION EXTREME MICROCLIMATE n n n HEARING LOSS PSYCHOSOMATIC D. TR. VASONEUROSIS CANCER, RADIAT. D. CATARACT CVD, HYPERTHERM. CHILBLAINS

CHEMICAL HAZARDS n DUSTS n n n PNEUMOCONIOSIS SILICOSIS ASBESTOSIS BERRYLIOSIS SIDEROSIS

CHEMICAL HAZARDS n DUSTS n n n PNEUMOCONIOSIS SILICOSIS ASBESTOSIS BERRYLIOSIS SIDEROSIS

CHEMICAL HAZARDS n WIDE SPECTRUM OF HUNDREDS COMPOUNDS n n n INJURIES TOXICANTS CARCINOGENS

CHEMICAL HAZARDS n WIDE SPECTRUM OF HUNDREDS COMPOUNDS n n n INJURIES TOXICANTS CARCINOGENS ALERGENS TERRATOGENS

BIOLOGIC HAZARDS n ANIMALS n INJURIES, ANTROPOZOONOS. INFECTIONS ALLERGIES n n n n MICROBIAL

BIOLOGIC HAZARDS n ANIMALS n INJURIES, ANTROPOZOONOS. INFECTIONS ALLERGIES n n n n MICROBIAL AND VIRAL FACTORS PLANT ALLERGENS n

PSYCHOLOGICAL STRAIN n DIFFERENT STRESS FACTORS n n n NEUROSIS DEPRESSION DISSATISFACTION CONFLICTS PSYCHOSOMATIC

PSYCHOLOGICAL STRAIN n DIFFERENT STRESS FACTORS n n n NEUROSIS DEPRESSION DISSATISFACTION CONFLICTS PSYCHOSOMATIC D.

WORK FACTORS AND WORKRELATED D. n n BEHAVIORAL AND PSYCHOSOMATIC D. HYPERTENSION n n

WORK FACTORS AND WORKRELATED D. n n BEHAVIORAL AND PSYCHOSOMATIC D. HYPERTENSION n n n n WORK OVERLOAD WORK UNDERLOAD SHIFT WORK CAREER DEVELOP. MIGRATION INTERPERSONAL CONFLICTS RESPONSIBILITY

WORK F. AND WORK RELATED D. n ICHS n n - - - STRESS

WORK F. AND WORK RELATED D. n ICHS n n - - - STRESS EXPOSURE TO: CARBON MONOXIDE CARBON DISULPHIDE PHYSICAL OVERLOAD SEDENTARY WORK

WORK F. AND WORKRELATED D. n n CHRONIC OBSTRUCTIVE PULMONARY DISEASE LOCOMOTORIC DISEASES n

WORK F. AND WORKRELATED D. n n CHRONIC OBSTRUCTIVE PULMONARY DISEASE LOCOMOTORIC DISEASES n n n IRRITANTS DUST ERGONOMIC F. WEIGHT BEARING TRAUMA VIBRATIONS, CONCUSSIONS

OCCUPATIONAL HAZARDS IN HEALTH PROFESSIONALS PRACTICE n WHICH OF THEM CAN YOU FIND?

OCCUPATIONAL HAZARDS IN HEALTH PROFESSIONALS PRACTICE n WHICH OF THEM CAN YOU FIND?

OCCUPATIONAL HAZARDS n n n INFECTIOUS AGENS X-RAY INJURY POSTURAL STRESS NOISE, VIBRATION

OCCUPATIONAL HAZARDS n n n INFECTIOUS AGENS X-RAY INJURY POSTURAL STRESS NOISE, VIBRATION

OCCUPATIONAL HAZARDS n n CHEMICALS: ORGANIC SOLVENTS CHEMICAL CARCINOGENS AND TERRATOGENS (CHEMOTHERAPY, ANESTESIOLOGY) ANORGANIC

OCCUPATIONAL HAZARDS n n CHEMICALS: ORGANIC SOLVENTS CHEMICAL CARCINOGENS AND TERRATOGENS (CHEMOTHERAPY, ANESTESIOLOGY) ANORGANIC MERCURY

OCCUPATIONAL HAZARDS n n n ALLERGENS: PROCAIN, MESOCAIN IODINE, FAMOSEPT, FORMALDEHADE SULFONAMIDES ANTIBIOTICS ACRYLATES,

OCCUPATIONAL HAZARDS n n n ALLERGENS: PROCAIN, MESOCAIN IODINE, FAMOSEPT, FORMALDEHADE SULFONAMIDES ANTIBIOTICS ACRYLATES, LATEX/RUBBER

OCCUPATIONAL STRESS n n n n sy. OF OVERFILL WAITING-ROOM LACK OF DRUGS LACK

OCCUPATIONAL STRESS n n n n sy. OF OVERFILL WAITING-ROOM LACK OF DRUGS LACK OF DIAGNOSTIC METHODS ADMINISTRATIVE OVERLOAD PATIENT´S MOOD PATIENT´S RELATIVES INTERPERSONAL RELATIONSHIPS SHIFT-WORK

OUTCOMES OF STRESS n n „BURN OUT“ sy. PSYCHOSOMATIC DISEASES ALCOHOLISM, SMOKING, DRUGS PSYCHIATRIC

OUTCOMES OF STRESS n n „BURN OUT“ sy. PSYCHOSOMATIC DISEASES ALCOHOLISM, SMOKING, DRUGS PSYCHIATRIC DISORDERS – SUICIDES RR 2, 0 (Finland, UK) – 4, 0 (USA)

PROFESSIOGRAM 1 n n TRY TO DEVELOPE THE WORKPLACE CHECKLIST FOR THE PATIENT WITH

PROFESSIOGRAM 1 n n TRY TO DEVELOPE THE WORKPLACE CHECKLIST FOR THE PATIENT WITH ICHS – MAN, 50 YEARS OLD WHICH RISK FACTORS WILL BE IMPORTANT FOR HIM?

PROFESSIOGRAM 1 INCREASED HEART RATE, BLOOD PRESSURE, NEEDS OF OXYGEN: - STRESS (working time/shift,

PROFESSIOGRAM 1 INCREASED HEART RATE, BLOOD PRESSURE, NEEDS OF OXYGEN: - STRESS (working time/shift, timing monotony work, noise, mental stress – responsibility) - ERGONOMY (outdoor/indoor workplace microclima, postural stress, physical overload n

PROFESSIOGRAM 1 n - - DECREASED SOURCE OF OXYGEN: ENVIRONMENTAL TOBACCO SMOKE (nicotine, carbon

PROFESSIOGRAM 1 n - - DECREASED SOURCE OF OXYGEN: ENVIRONMENTAL TOBACCO SMOKE (nicotine, carbon monoxide, hydrocyanide) CARBON MONOXIDE CARBON DISULPHIDE

PROFESIOGRAM 2 n n TRY TO DEVELOPE THE WORKPLACE CHECKLIST FOR PREGNANT WOMAN WHICH

PROFESIOGRAM 2 n n TRY TO DEVELOPE THE WORKPLACE CHECKLIST FOR PREGNANT WOMAN WHICH RISK FACTORS WILL BE IMPORTANT FOR HER AND FOR FETUS?

PROFESSIOGRAM 2 n - INCREASED NEEDS FOR OXYGEN FROM THE 2 nd TRIMESTER STRESS

PROFESSIOGRAM 2 n - INCREASED NEEDS FOR OXYGEN FROM THE 2 nd TRIMESTER STRESS ERGONOMY

PROFESSIOGRAM 2 n - DECREASED SOURCE OF OXYGEN: POSTURAL STRESS ENVIRONMENTAL TOBACCO SMOKE CARBON

PROFESSIOGRAM 2 n - DECREASED SOURCE OF OXYGEN: POSTURAL STRESS ENVIRONMENTAL TOBACCO SMOKE CARBON MONOXIDE CARBON DISULPHIDE

PROFESSIOGRAM 2 n - - EXPOSURE TO TERRATOGENS: SMOKING + ENVIRONMENTAL TOBACCO SMOKE ALCOHOL

PROFESSIOGRAM 2 n - - EXPOSURE TO TERRATOGENS: SMOKING + ENVIRONMENTAL TOBACCO SMOKE ALCOHOL THALIDOMID ORGANIC MERCURY

PROFESSIOGRAM 2 n - TERRATOGENS: VIRAL/MICROBIAL INFECTIONS X-RAYs CADMIUM, LEAD ORGANIC SOLVENTS KOKAIN, HEROIN,

PROFESSIOGRAM 2 n - TERRATOGENS: VIRAL/MICROBIAL INFECTIONS X-RAYs CADMIUM, LEAD ORGANIC SOLVENTS KOKAIN, HEROIN, MARIHUANA

PROFESSIOGRAM 2 n n n NOISE, VIBRATION LIPOSOLUBLE VITAMINES SOME DRUGS EL. MAG. WAVES

PROFESSIOGRAM 2 n n n NOISE, VIBRATION LIPOSOLUBLE VITAMINES SOME DRUGS EL. MAG. WAVES POLYCYCLIC CHLORINATED HYDROCARBONS (PCBs, PCDDs, PCDFs)

PRIMARY PREVENTION n n n CONTROL OF NEW HAZARDS CONTROL OF KNOWN HAZARDS SUBSTITUTION

PRIMARY PREVENTION n n n CONTROL OF NEW HAZARDS CONTROL OF KNOWN HAZARDS SUBSTITUTION OF RISK FACTORS TECHNICAL CONTROLS TO MINIMASE EXPOSURE ADMINISTRATIVE CONTROLS

PRIMARY PREVENTION n n ENVIRONMENTAL MONITORING BIOLOGICAL MONITORING OF EXPOSURE IDENTIFICATION OF VULNERABLE PERSONS

PRIMARY PREVENTION n n ENVIRONMENTAL MONITORING BIOLOGICAL MONITORING OF EXPOSURE IDENTIFICATION OF VULNERABLE PERSONS (pre-employed examination) PERSONAL PROTECTIVE DEVICES

SECONDARY PREVENTION SCREENING = EARLY DETECTION OF DELETERIOUS EFFECTS n PERIODIC MEDICAL EXAMINATIONS n

SECONDARY PREVENTION SCREENING = EARLY DETECTION OF DELETERIOUS EFFECTS n PERIODIC MEDICAL EXAMINATIONS n TESTs OF CHEMICAL EXPOSURE: -measurement of chemical/metabolite -measurement of conjugates -measurement of body reactions n

RESPONSIBILITY IN PREVENTION n - - EMPLOYERs: INFORMATION ABOUT RISKS CONTROL FOR REDUCTION OF

RESPONSIBILITY IN PREVENTION n - - EMPLOYERs: INFORMATION ABOUT RISKS CONTROL FOR REDUCTION OF EXPOSURE CONTRACT WITH PHYSICIANS PROTECTIVE DEVICES

RESPONSIBILITY IN PREVENTION n - - - PHYSICIANS: INFORMATION ABOUT HEALTH RISKS OF OCCUPATIONAL

RESPONSIBILITY IN PREVENTION n - - - PHYSICIANS: INFORMATION ABOUT HEALTH RISKS OF OCCUPATIONAL HAZARDS PERIODIC MEDICAL EXAMINATIONS + COLLABORATION WITH SPECIALISTS PROPOSALS FOR WORKERS PROTECTION

RESPONSIBILITY IN PREVENTION n - - WORKERS: ACCEPT THE INFORMATION AND ADVICES FOR SAFETY

RESPONSIBILITY IN PREVENTION n - - WORKERS: ACCEPT THE INFORMATION AND ADVICES FOR SAFETY WORK USE THE PROTECTIVE DEVICES ABSOLVE PREVENTIVE MEDICAL EXAMINATIONS

RULES IN CZECH REPUBLIC n n n HAZARDOUS WORKPLACES ARE STATUTED BY REGIONAL HYGIENIST

RULES IN CZECH REPUBLIC n n n HAZARDOUS WORKPLACES ARE STATUTED BY REGIONAL HYGIENIST LIMITS/NORMS ARE STATUTED BY GENERAL HYGIENIST OCCUPATIONAL DISEASES ARE DIAGNOSED BY SPECIALISTS IN REGIONAL OFFICES