Showing 4 results for Seyedmehdi
Mirsaeed Attarchi, Mohammad Babai, Seyed Mohammad Seyedmehdi,
Volume 8, Issue 3 (Occupational Medicine Quarterly Medicine 2016)
Abstract
Assessment of the ability of employees to work without risk to health and safety for themselves and others is the concept of job fitness. The five main criteria, i.e. work capacity, risk of health and safety, ethical indices, economic indicators and indicators of legal, occupational health physician must be considered in assessing fitness for work.
This review article consists of different parts including: occupational fitness evaluation indices, safety and health risk, workers' capacity, legal and moral indices, economical index, evaluation tools, decision making process, consequences and challenges. Naturally, for each of the mentioned indicators there is a tool to assess the sensitivity, specificity and cost-effectiveness.
Consequences of job fitness assessment can range from suitable to unsuitable. Changes in maintenance and adjustment of work or working conditions should be considered in assessing job fitness. But with all the explanations, in many cases an occupational health physician may face problems in decision making for job fitness. He/She may not be able to make a precise decision which is probably due to different causes such as lack of appropriate tools and atandards, workers' malingering, social laws and etc.
Mirsaeed Attarchi, Seyed Mohammad Seyedmehdi,
Volume 10, Issue 1 (Occupational Medicine Quarterly Journal 2018)
Abstract
One of major factors in fitness for work evaluation is `risk` .Risk evolution is estimated based on medical problems development in a person's job .personal risk estimation is very important in safety critical jobs ,such as driving and pilotage. Medical incompetence can lead to catastrophic accidents for the person, his/her partner(s) or passengers. Different causes can lead to medical incompetence, such as: cardiovascular accidents, cerebrovascular accidents, hypoglycemia, seizure and etc.. Human or engineering errors can cause fatal accidents in safety critical jobs. Usually, one tenth of these accidents are due to human errors and one tenth of human errors are due to medical incompetence. Acceptable risk threshold of medical incompetence is vary based on medical condition, job and work properties.
Acceptable risk threshold could not be considered as low as `zero` because of different reasons. Personal risk estimation and comparing it with acceptable risk threshold in safety critical jobs is one of major determinative factors for permission doing certain safety critical jobs.
Seyed Mohammad Seyedmehdi, Mirsaeed Attarchi,
Volume 11, Issue 3 (Occupational Medicine Quarterly Journal 2019)
Abstract
Diabetes, hyperglycemia and its role in fitness for work
Introduction: Diabetes is a prevalent disease in our country and in the world. Hyperglycemia complications can impact on ability to work. Decision making about fitness for work in diabetic patients is important and complicated.
Objective: The aim of this study was assessment scientific evidence and present suitable approach for fitness for work in diabetic patients.
Methods: In this review article the last evidence from Scopus, Science Direct, Pub Med, Google Scholar, SID and Magiran Data Bass was evaluated and different aspects of fitness for work in hyperglycemia of diabetics of diabetic patients was analyzed.
Discussion and Conclusion: Assessment of personal risk and diabetic patient abilities in comparison with inherent requirements of the job is important in decision making about fitness for work. Most of these patients can work and have acceptable efficacy and safety in most of the jobs. In most of job situations, with support of the employer and job environment modifications, diabetic patients can work with acceptable efficacy and safety.
Fatemeh Nejatifar, Mirsaeed Attarchi, Mohammad Mehdi Sohrabi, Seyed Mohammad Seyedmehdi,
Volume 16, Issue 4 (Occupational Medicine Quarterly Journal 2024)
Abstract
Introduction: The accidental discovery of thrombocytopenia is a medical challenge and may be of little clinical importance or indicate a serious disease affecting the hematopoietic system. In this article, we have discussed how to manage incidental isolated thrombocytopenia identified during occupational health examinations.
Materials and Methods: In this study, to effectively address the thrombocytopenia found accidentally in screening tests, researchers searched reliable databases such as Scopus, PubMed, Google Scholar, and others.
Results: In general, thrombocytopenia may result from a decrease in platelet production, an increase in platelet consumption, or an increase in platelet separation from the circulatory system. In dealing with thrombocytopenia, a thorough history, physical examination, and targeted laboratory tests can identify patients who need immediate intervention. Common causes of thrombocytopenia include false thrombocytopenia, drug use, congenital thrombocytopenia, chronic liver disease, distributed thrombocytopenia, concurrent deficiency of folic acid and vitamin B12, immune thrombocytopenia purpura, thrombotic thrombocytopenic purpura, viral infections, and systemic autoimmune disorders. Additionally, assessing the risk of bleeding in these individuals should be considered.
Conclusion: Thrombocytopenia discovered in screening tests is a relatively common finding and has numerous underlying causes. A systematic approach is required to identify its underlying causes. Knowing the list of common benign causes of isolated thrombocytopenia and the alarm symptoms of this disorder can help an occupational health specialist identify high-risk people and take the necessary measures.