THE INFLUENCE OF PSYCHO-PROFESSIONAL RISK FACTORS IN OCCUPATION-RELATED CARDIOVASCULAR DISEASES

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Article Title:	THE INFLUENCE OF PSYCHO-PROFESSIONAL RISK FACTORS IN OCCUPATION-RELATED CARDIOVASCULAR DISEASES
Authors:	Narcisa Carmen Mladin1-4, Casiana Stănescu3,4, Maria Puşchiţă2,41
Affiliation:	1 Department of Occupational Medicine , County Emergency Hospital Arad, Romania 2 Department of Internal Medicine, County Emergency Hospital Arad, Romania 3 Departament of Obstetric and Gynecology, County Emergency Hospital Arad, Romania 4”Vasile Goldiş” Western University of Arad, Faculty of Medicine, Department of General Medicine
Abstract:	According to specialized studies, the prevalence of psycho-professional risk factors in occupation-related CVDs is continually increasing in Romania. Cardiovascular diseases have special medical importance and a major impact on health and professional activity. The analysis of psycho-professional risk factors in cardiovascular pathology was conducted over a period comprised between 2013 and 2015 and included the study of two groups of subjects: Group I Target – 60 unidentified subjects with occupation-related CVDs, of which 30 were employees of a wood-processing plant in Arad City, and 30 were patients of an individual medical practice in Arad; Group II Case, composed of 60 patients from the Department of Occupational Medicine at the Arad County Emergency Hospital, selected from a number of 429 admissions with a cardiovascular disease diagnosis. Studied groups were homogenous in terms of number, gender and age (35 to 65 years old). The intent of the study was communicated to all, and written consent was obtained, under signature, from every subject; they were assured of the strict compliance with ethical norms, in accordance with the Declaration of Helsinki, and Romanian legislation in this matter. To obtain the information required for research, an interview was held, accepted and recorded in writing by each subject, as were collective talks regarding the danger risk factors pose on health. All subjects were consulted and interviewed, and a general clinical observation sheet and occupational case history were drawn up for them.The research showed an increased incidence of psycho-professional risk factors in Group II Case patients, as compared to Group I Target. The impact of psycho-professional risk factors is reflected especially on patients in Group II Case, with an increase in the development of cardiovascular complications during the study. Although the human body is physiologically created to respond to external factors of any nature, psycho-professional risk factors influence cardiovascular function over time, damaging the HPA axis and SAM, with grave consequences on work capacity. As such, in accordance with law no. 418/2004, employers should receive counseling in promoting occupational health, creating optimal conditions, and most of all eliminating occupational stress, this being the responsibility of occupational medicine specialists.
Keywords:	psycho-professional risk factors, occupation-related cardiovascular diseases.
References:	1. World Health Organization. The Global Burden of Disease: 2004 Update. Geneva, Switzerland: World Health Organization, 2008. 2. Kannel WB, Dawber TR, Kagan A, Revotskie N, Stokes JI. Factors of risk in the development of coronary heart disease – six year follow-up experience. The Framingham Study. Ann Intern Med 1961; 55:33-50 3. Hâncu N, Cerghizan A. Global Approach to Cardiovascular Risk in Type 2 Diabetic Persons. In Hâncu N. Editor: Cardiovascular Risk in Type 2 DiabetesMellitus. Berlin, Heidelberg, New York: Springer-Verlag, 2003, 240-276. 4. D’Agostino RB, Sr., Vasan RS, Pencina MJ, et al. General cardiovascular risk profile for use in primary care: The Framingham Heart Sudy. Circulation 2008;117:743-753. 5. Chockalingam A. World Hypertension Day and global Awareness. Can Cardiol. 2008. June24 (6) 441/444. 6. Government Decision no. 125 of 11 October 2006 for approval of methodological norms to apply the provisions of the Law of security and health in labor no. 319 of 2006, as amended by G.D. no. 955 of 2010. Official Gazette no. 661 of 27 .09.2010.
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