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Features of metabolic changes in the liver in experimental animals under chronic exposure to acrylamide and against the background of its preventive correction 慢性丙烯酰胺暴露下实验动物肝脏代谢变化特征及其预防性纠正
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-975-980
Elvira F. Repina, Tat'yana G. Yakupova, Denis O. Karimov, Gulnara V. Timasheva, Elmira R. Shaikhlislamova, Ahat B. Bakirov, Alfiya R. Gimadieva, Nadezhda Yu. Khusnutdinova, Samat S. Baygildin, Aidar R. Akhmadeev
Introduction. Acrylamide used industrially is also widely known to be a toxic compound produced during high temperature cooking. Given the danger of its entry into the body, it is important to continue fundamental research to study the mechanism of its toxicity and search for effective ways to correct the disorders caused by it. The purpose of the research is to study the features of metabolic changes in the liver of rats under conditions of chronic exposure to acrylamide and evaluate the effectiveness of their preventive correction with oxymethyluracil complex compounds. Materials and methods. Studies were performed on sixty white outbred male rats weighing 180–200 g. Acrylamide was administered intragastrically at a dose of 5 mg/kg of body weight for 90 days. Correction of possible disorders was carried out 1 hour before the administration of the toxicant with complex compounds of oxymethyluracil with ascorbic acid (MG-1), with sodium succinate (MG-2) and acetylcysteine (MG-10). Biochemical parameters were studied after 45 and 90 days of the experiment. Results. Studies have shown long-term intake of acrylamide at a dose of 5 mg/kg of body weight to lead to metabolic disorders. A statistically significant increase in the activity of the enzymes aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (AP), and superoxide dismutase (SOD) was found. Statistically significant differences in the level of activity of ALT, alkaline phosphatase and SOD for the period of the experiment of 45 days compared with the positive control group were established in the group receiving the MG-10 preparation. After 90 days, in the group of animals treated with the MG-2 preparation, the activity of ALT and alkaline phosphatase decreased significantly. The introduction of the drug MG-10 had a statistically significant effect on ALT activity, reducing it to the level in the negative control group of animals treated with distilled water. Limitations of the study are related to the correction with complex compounds of oxymethyluracil carried out only in a prophylactic regimen. For the final judgment on their protective effectiveness, it is necessary to introduce them in the accompanying and restorative regimes, as well as to study other biochemical parameters when exposed to acrylamide. Conclusion. The best protective effect at a period of 45 days was shown by a complex compound of oxymethyluracil with acetylcysteine, at a period of 90 days – a complex compound of oxymethyluracil with sodium succinate.
介绍。工业上使用的丙烯酰胺也是一种在高温烹饪过程中产生的有毒化合物。鉴于其进入人体的危险性,继续进行基础研究以研究其毒性机制并寻找有效的方法来纠正其引起的疾病是很重要的。& # x0D;本研究的目的是研究慢性丙烯酰胺暴露大鼠肝脏代谢变化的特点,并评价氧甲基尿嘧啶复合物对其预防性纠正的有效性。材料和方法。研究对象为60只体重为180-200 g的纯种雄性大鼠。丙烯酰胺按5 mg/kg体重灌胃90天。在给药前1小时用氧甲基尿嘧啶与抗坏血酸(MG-1)、琥珀酸钠(MG-2)和乙酰半胱氨酸(MG-10)的复合化合物对可能出现的疾病进行纠正。 后研究生化参数;试验第45天和第90天。 结果。研究表明,长期摄入每公斤体重5毫克剂量的丙烯酰胺会导致代谢紊乱。天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、碱性磷酸酶(AP)和超氧化物歧化酶(SOD)的活性均有统计学意义的升高。MG-10制剂组在45 d的实验期内ALT、碱性磷酸酶、SOD活性水平与阳性对照组比较,差异均有统计学意义。90 d后,MG-2制剂组动物ALT和碱性磷酸酶活性显著降低。药物MG-10的引入对ALT活性的影响具有统计学意义,使其降至用蒸馏水处理的阴性对照组的水平。 该研究的局限性在于仅在预防方案中使用氧甲基尿嘧啶复合化合物进行校正。为了最终判断其保护效果,有必要在伴随和恢复方案中引入它们,并研究丙烯酰胺暴露时的其他生化参数。结论。氧甲基尿嘧啶与乙酰半胱氨酸复配的保护效果最好,保护期为45天,保护期为90天- 氧甲基尿嘧啶与琥珀酸钠的复合化合物。
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 The purpose of the research is to study the features of metabolic changes in the liver of rats under conditions of chronic exposure to acrylamide and evaluate the effectiveness of their preventive correction with oxymethyluracil complex compounds.
 Materials and methods. Studies were performed on sixty white outbred male rats weighing 180–200 g. Acrylamide was administered intragastrically at a dose of 5 mg/kg of body weight for 90 days. Correction of possible disorders was carried out 1 hour before the administration of the toxicant with complex compounds of oxymethyluracil with ascorbic acid (MG-1), with sodium succinate (MG-2) and acetylcysteine (MG-10). Biochemical parameters were studied after 
 45 and 90 days of the experiment.
 Results. Studies have shown long-term intake of acrylamide at a dose of 5 mg/kg of body weight to lead to metabolic disorders. A statistically significant increase in the activity of the enzymes aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (AP), and superoxide dismutase (SOD) was found. Statistically significant differences in the level of activity of ALT, alkaline phosphatase and SOD for the period of the experiment of 45 days compared with the positive control group were established in the group receiving the MG-10 preparation. After 90 days, in the group of animals treated with the MG-2 preparation, the activity of ALT and alkaline phosphatase decreased significantly. The introduction of the drug MG-10 had a statistically significant effect on ALT activity, reducing it to the level in the negative control group of animals treated with distilled water.
 Limitations of the study are related to the correction with complex compounds of oxymethyluracil carried out only in a prophylactic regimen. For the final judgment on their protective effectiveness, it is necessary to introduce them in the accompanying and restorative regimes, as well as to study other biochemical parameters when exposed to acrylamide.
 Conclusion. The best protective effect at a period of 45 days was shown by a complex compound of oxymethyluracil with acetylcysteine, at a period of 90 days – 
 a complex compound of oxymethyluracil with sodium succinate.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"16 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A method for determining the environmentally safe residual content of oil and petroleum products in soils 测定土壤中石油和石油产品环境安全残留量的方法
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-987-992
Vladimir G. Gaivoronskiy, Anna A. Kuzina, Sergey I. Kolesnikov, Tatiana V. Minnikova, Elena N. Nevedomaya, Kamil Sh. Kazeev
Introduction. The Black Sea Coast of the Caucasus is one of the most important recreational and tourist regions for Russia. In recent years, it has been subjected to a sharply increased anthropogenic load, due to an increase in the number of tourists, accompanied by an increase in traffic flows and, as a result, an increase in environmental pollution, including oil hydrocarbons. The risks of leakage of oil products during transportation and pumping are increasing. To predict and prevent dangerous consequences of pollution, it is necessary to determine the environmentally safe residual content of oil and oil products in the soil, based on the regional ecological and geochemical characteristics of soils. Materials and methods. Laboratory modelling of contamination with oil and petroleum products (fuel oil, gasoline, diesel fuel) of sod-carbonate typical soil was carried out. To simulate pollution, oil and petroleum products were added to soil samples including fuel oil, gasoline, diesel fuel in a weight concentration of 1% (low pollution), 5% (medium pollution) and 10% (high pollution) of the soil mass. The exposure period lasted 30 days. After the specified period, changes in biological parameters (enzyme activity, radish root length, number of soil bacteria) were determined. Based on the listed parameters, the integral indicator of the biological state IIBS of the soil was calculated . Results. Oil and oil products pollution negatively affected the biological properties of the studied soil. A significant decrease in enzymatic activity, the number of bacteria, and the length of plant roots was recorded. The range of toxicity of the studied substances on biological indicators of soils is as follows: oil > fuel oil > gasoline > diesel fuel. The study made it possible to determine the maximum level of residual content of oil and petroleum products (fuel oil, gasoline, diesel fuel) in the refinery. For oil, it is 0.27%, for gasoline – 0.40%, for fuel oil – 0.30%, for diesel fuel – 0.45%. Limitations. The proposed limit levels of residual oil and petroleum products (fuel oil, gasoline, diesel fuel) in soils are applicable primarily on the territory of the Black Sea coast of the Caucasus. Conclusion. The proposed limit levels of the residual content of oil and petroleum products (fuel oil, gasoline, diesel fuel) in the soils of the refinery area can be used by environmental, agricultural and scientific organizations
介绍。高加索黑海沿岸是俄罗斯最重要的休闲旅游区之一。近年来,由于游客人数的增加,交通流量的增加,以及环境污染的增加,包括石油碳氢化合物,它受到了急剧增加的人为负荷。油品在运输和泵送过程中发生泄漏的风险越来越大。为了预测和预防污染的危险后果,有必要根据土壤的区域生态和地球化学特征,确定土壤中石油和石油产品的环境安全残留量。 材料和方法。对典型土壤中石油和石油产品(燃料油、汽油、柴油)的污染进行了实验室模拟。为了模拟污染,我们在土壤样品中添加了石油和石油产品,包括燃料油、汽油、柴油,其质量浓度分别为土壤质量浓度的1%(低污染)、5%(中污染)和10%(高污染)。暴露期30 d。在规定的时间后,测定生物参数(酶活性、萝卜根长、土壤细菌数量)的变化。根据所列参数,计算出土壤生物状态IIBS的积分指标。 结果。石油和石油产品污染对土壤的生物学特性产生了负面影响。酶活性、细菌数量和植物根系长度显著下降。研究物质对土壤生物指标的毒性范围如下:石油;燃料油;汽油比;柴油燃料。这项研究可以确定炼油厂中石油和石油产品(燃料油、汽油、柴油)残留含量的最高水平。石油为0.27%,汽油为0.40%,燃料油为0.30%,柴油为0.45%。的局限性。土壤中残余石油和石油产品(燃料油、汽油、柴油)的拟议限量主要适用于高加索黑海沿岸的领土。结论。建议的炼油厂土壤中石油和石油产品(燃料油、汽油、柴油)残留量限量可供环境、农业和科学组织使用
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 Materials and methods. Laboratory modelling of contamination with oil and petroleum products (fuel oil, gasoline, diesel fuel) of sod-carbonate typical soil was carried out. To simulate pollution, oil and petroleum products were added to soil samples including fuel oil, gasoline, diesel fuel in a weight concentration of 1% (low pollution), 5% (medium pollution) and 10% (high pollution) of the soil mass. The exposure period lasted 30 days. After the specified period, changes in biological parameters (enzyme activity, radish root length, number of soil bacteria) were determined. Based on the listed parameters, the integral indicator of the biological state IIBS of the soil was calculated .
 Results. Oil and oil products pollution negatively affected the biological properties of the studied soil. A significant decrease in enzymatic activity, the number of bacteria, and the length of plant roots was recorded. The range of toxicity of the studied substances on biological indicators of soils is as follows: oil > fuel oil > gasoline > diesel fuel. The study made it possible to determine the maximum level of residual content of oil and petroleum products (fuel oil, gasoline, diesel fuel) in the refinery. For oil, it is 0.27%, for gasoline – 0.40%, for fuel oil – 0.30%, for diesel fuel – 0.45%.
 Limitations. The proposed limit levels of residual oil and petroleum products (fuel oil, gasoline, diesel fuel) in soils are applicable primarily on the territory of the Black Sea coast of the Caucasus.
 Conclusion. The proposed limit levels of the residual content of oil and petroleum products (fuel oil, gasoline, diesel fuel) in the soils of the refinery area can be used by environmental, agricultural and scientific organizations","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"35 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physiological deviations in the body when working in a heating environment in shunt shielding personal protective equipment 生理偏差在人体工作时在加热环境中进行分流屏蔽个人防护装备
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-921-927
Olga V. Burmistrova, Sergey Yu. Perov, Maria V. Sazhina
Introduction. The article presents results of the study of the human body functional state when using a set of shielding personal protective equipment during modelling of electrical staff occupational activity in a hot environment. Materials and methods. The studies were carried out in the climatic chamber with an air temperature 35.5 ± 0.5 °C and a WGBT index of 30.0 ± 0.8 °C. Studies of the human body functional state were conducted with the participation of twelve volunteers who used a set of shunting shielding personal protective equipment and a control clothing set. The values of body temperature, skin both temperature and humidity, clothing temperature and humidity under dressing were recorded. General heat and local moisture perceptions were evaluated. During the research, the heart rate and metabolic rate were recorded by indirect calorimetry. The values of the average skin & body temperature, heart rate increase, changes in heat storage rate, as well as moisture exchange indicators were calculated. Results. The results of the physiological cost assessment indicate that the use of a shielding personal protective equipment set compared to the control set led to a greater increase in core temperature (by 47.7%), higher values of average body temperature (by 1.3%), heat storage rate (by 24.2%), heart rate (by 24.7%), the metabolic rate (by 20.7%), moisture loss (by 55.6%). Limitations. The study had limitations due to sample size of the included volunteers. Conclusion. The data obtained indicate a significant change in the human body functional state and a critical risk of overheating when using shielding personal protective equipment. The use of a shielding clothing increases the physiological and energy cost of work, which is expressed in a gain in the metabolic rate level, oxygen consumption, and a work category elevation from IIa to IIb.
介绍。本文介绍了高温环境下电气工作人员职业活动建模中使用一套屏蔽式个人防护装备时人体功能状态的研究结果。 材料和方法。研究在气候室内进行,温度为35.5±0.5°C, WGBT指数为30.0±0.8°C。对人体功能状态的研究是在12名志愿者的参与下进行的,他们使用了一套分流屏蔽个人防护设备和一套对照服。记录体温、皮肤温湿度、穿衣温度和穿衣时的湿度。评估了一般热量和局部湿度感知。在研究过程中,采用间接量热法记录心率和代谢率。平均皮肤的值&计算体温、心率升高、储热率变化以及水分交换指标。& # x0D;结果。生理成本评估结果表明,与对照组相比,使用屏蔽式个人防护装备组导致核心温度升高47.7%,平均体温升高1.3%,储热率升高24.2%,心率升高24.7%,代谢率升高20.7%,水分损失升高55.6%。的局限性。由于纳入志愿者的样本量,该研究存在局限性。 结论。所获得的数据表明,当使用屏蔽个人防护设备时,人体功能状态会发生重大变化,并且存在严重的过热风险。防护服的使用增加了工作的生理和能量成本,这表现为代谢率水平的增加、耗氧量的增加以及工作类别从IIa提升到IIb。
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 Materials and methods. The studies were carried out in the climatic chamber with an air temperature 35.5 ± 0.5 °C and a WGBT index of 30.0 ± 0.8 °C. Studies of the human body functional state were conducted with the participation of twelve volunteers who used a set of shunting shielding personal protective equipment and a control clothing set. The values of body temperature, skin both temperature and humidity, clothing temperature and humidity under dressing were recorded. General heat and local moisture perceptions were evaluated. During the research, the heart rate and metabolic rate were recorded by indirect calorimetry. The values of the average skin & body temperature, heart rate increase, changes in heat storage rate, as well as moisture exchange indicators were calculated. 
 Results. The results of the physiological cost assessment indicate that the use of a shielding personal protective equipment set compared to the control set led to a greater increase in core temperature (by 47.7%), higher values of average body temperature (by 1.3%), heat storage rate (by 24.2%), heart rate (by 24.7%), the metabolic rate (by 20.7%), moisture loss (by 55.6%).
 Limitations. The study had limitations due to sample size of the included volunteers.
 Conclusion. The data obtained indicate a significant change in the human body functional state and a critical risk of overheating when using shielding personal protective equipment. The use of a shielding clothing increases the physiological and energy cost of work, which is expressed in a gain in the metabolic rate level, oxygen consumption, and a work category elevation from IIa to IIb.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"193 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Socio-psychological features of the formation of alcohol consumption motivations among youth students 青年学生饮酒动机形成的社会心理特征
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-954-961
Nina P. Setko, Andrey G. Setko, Olesya M. Zhdanova
Introduction. Alcohol use by young people remains a serious medical, social and economic problem that contributes significantly to disease worldwide. The purpose of the study is to determine the socio-psychological features of the formation of alcohol consumption motives among students. Materials and methods. Undergraduate and senior students of the Medical University were assessed the level of alcohol consumption using the screening test AUDIT (The Alcohol Use Disorders Identification Test), developed by WHO (1989); motives for alcohol consumption using the questionnaire “Motivation of alcohol consumption” according to V.Yu. Zavyalova (1989); the level of social health according to the questionnaire of E.V. Tsikalyuk (2013), anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) questionnaire developed by A.S. Zigmond, R.P. Snaith (1983), adapted by A.W. Andryushchenko et al. (2003). Results. At an acceptable level of alcohol consumption, with a relatively low risk of alcohol-associated problems (92.2%), the leading motives for alcohol consumption in 79.7% of students were established to be socio-psychological motives, the formation of which was due to the average level of social health, conformal social functioning characteristic of 85.9% of students, while the development of personal motives for alcohol consumption, which prevailed in only a fifth of students (19.4%), was characterized by an increase in the level of anxiety by 1.4 times, a decrease in the level of social health by 1.2 times, relative to these students with the dominance of socio-psychological motives. Limitations. The lack of anonymity in conducting surveys, which affects the accuracy of the results obtained with the possibility of their underestimation, may be a limitation of the study. Conclusion. The formation of a relatively low risk of alcohol-associated problems among the vast majority of students, the gain in the motivation for alcohol consumption and an increase in the proportion of students who abuse alcohol from junior to senior courses, dictates the need for preventive measures aimed at creating a healthy lifestyle that excludes alcohol consumption among students. Young people, which can be achieved by strengthening the educational component, developing a system for monitoring and controlling alcohol consumption, identifying students of the “risk group” with symptoms of anxiety and depression, a reduced level of social health and their correction.
介绍。年轻人饮酒仍然是一个严重的医疗、社会和经济问题,在很大程度上导致了世界范围内的疾病。本研究的目的是确定学生饮酒动机形成的社会心理特征。 材料和方法。使用世卫组织(1989年)开发的筛选试验AUDIT(酒精使用障碍鉴定试验)评估医科大学本科生和高年级学生的酒精消费水平;根据V.Yu的研究,使用“酒精消费动机”问卷调查酒精消费动机。Zavyalova (1989);社会健康水平采用E.V. Tsikalyuk(2013)问卷,焦虑和抑郁采用A.S. Zigmond, R.P. Snaith(1983)编制的医院焦虑和抑郁量表(HADS)问卷,改编自 作者:A.W. Andryushchenko et al. (2003) 结果。在一个可接受的酒精消费水平上,酒精相关问题的风险相对较低(92.2%),79.7%的学生饮酒的主要动机被确定为社会心理动机,其形成是由于社会健康的平均水平,85.9%的学生的合形社会功能特征,而个人饮酒动机的发展,只有 五分之一的学生(19.4%)的特点是焦虑水平增加了1.4倍,社会健康水平下降了1.2倍,相对而言 以社会心理动机为主导的学生。 的局限性。在进行调查时缺乏匿名性,这影响了所获得结果的准确性,并有可能低估结果,这可能是本研究的一个局限性。 结论。在绝大多数学生中,与酒精有关的问题的风险相对较低,饮酒动机的增加以及从初级课程到高级课程中酗酒的学生比例的增加,要求采取预防措施,旨在创造一种健康的生活方式,使学生不喝酒。青年人,这可以通过加强教育组成部分、制定监测和控制酒精消费的系统、确定有焦虑和抑郁症状、社会健康水平下降的"危险群体"学生并加以纠正来实现。
{"title":"Socio-psychological features of the formation of alcohol consumption motivations among youth students","authors":"Nina P. Setko, Andrey G. Setko, Olesya M. Zhdanova","doi":"10.47470/0016-9900-2023-102-9-954-961","DOIUrl":"https://doi.org/10.47470/0016-9900-2023-102-9-954-961","url":null,"abstract":"Introduction. Alcohol use by young people remains a serious medical, social and economic problem that contributes significantly to disease worldwide.
 The purpose of the study is to determine the socio-psychological features of the formation of alcohol consumption motives among students.
 Materials and methods. Undergraduate and senior students of the Medical University were assessed the level of alcohol consumption using the screening test AUDIT (The Alcohol Use Disorders Identification Test), developed by WHO (1989); motives for alcohol consumption using the questionnaire “Motivation of alcohol consumption” according to V.Yu. Zavyalova (1989); the level of social health according to the questionnaire of E.V. Tsikalyuk (2013), anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) questionnaire developed by A.S. Zigmond, R.P. Snaith (1983), adapted 
 by A.W. Andryushchenko et al. (2003).
 Results. At an acceptable level of alcohol consumption, with a relatively low risk of alcohol-associated problems (92.2%), the leading motives for alcohol consumption in 79.7% of students were established to be socio-psychological motives, the formation of which was due to the average level of social health, conformal social functioning characteristic of 85.9% of students, while the development of personal motives for alcohol consumption, which prevailed in only 
 a fifth of students (19.4%), was characterized by an increase in the level of anxiety by 1.4 times, a decrease in the level of social health by 1.2 times, relative 
 to these students with the dominance of socio-psychological motives.
 Limitations. The lack of anonymity in conducting surveys, which affects the accuracy of the results obtained with the possibility of their underestimation, may be a limitation of the study.
 Conclusion. The formation of a relatively low risk of alcohol-associated problems among the vast majority of students, the gain in the motivation for alcohol consumption and an increase in the proportion of students who abuse alcohol from junior to senior courses, dictates the need for preventive measures aimed at creating a healthy lifestyle that excludes alcohol consumption among students. Young people, which can be achieved by strengthening the educational component, developing a system for monitoring and controlling alcohol consumption, identifying students of the “risk group” with symptoms of anxiety and depression, a reduced level of social health and their correction.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"34 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Features of the course of occupational upper limb myofibrosis in patients with generalized polyosteoarthritis 全身性多骨关节炎患者职业性上肢肌纤维化病程特点
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-941-946
Ekaterina V. Ulanovskaya, Aleksandr A. Kovshov, Victor V. Shilov, Aleksandr N. Nikanov, Nadezhda I. Kuprina
Introduction. Occupational diseases of the upper extremities from physical (functional) overstrain occupy a leading place in the structure of occupational morbidity, with myofibrosis being the most common disease. The aim of the study was to assess the course of myofibrosis against the background of generalized polyosteoarthritis using the ultrasound method. Materials and methods. One hundred seventeen mining industry workers were examined. The main group consisted of 20 patients with an established diagnosis of 1st stage of myofibrosis and generalized osteoarthritis, the control group consisted of 97 patients with an established diagnosis of 1st stage of myofibrosis. Standard clinical and laboratory methods of examination, ultrasound examination of the muscles of the forearms and shoulders were performed. Results. The median values of epimysium and muscle bundles thickness in both the main and control groups correspond to stage 1 of myofibrosis, while the median thickness of perimysium in the reference group corresponds to stage 1, and in main group it corresponds to stage 2. In addition, the 75th percentile of epimysium thickness, as well as the 25th percentile of muscle bundle thickness in the main group, also meet the criteria for stage 2 of myofibrosis. Limitations. The study has gender restrictions (men were investigated), as well as restrictions on professions (mining workers). Conclusions. According to the results of ultrasound examination, in the main group patients there are signs corresponding to the transition of myofibrosis to the second stage, which is characterized by a statistically significant increase in perimysium thickness, as well as a pronounced tendency of epimysium thickness increase and reduce of muscle bundle thickness. This is important when the disease is associated with occupation, allowing patients with a combination of myofibrosis and generalized osteoarthritis to establish a more severe stage of myofibrosis course, indicating a more pronounced degree of occupational work ability loss.
介绍。肢体(功能)过度劳损引起的上肢职业病在职业发病结构中占主导地位,其中肌纤维化是最常见的疾病。 该研究的目的是利用超声方法评估广泛性多骨关节炎背景下肌纤维化的进程。 材料和方法。117名采矿业工人接受了调查。主要组包括20例确诊为一期肌纤维化和全身性骨关节炎的患者,对照组包括97例确诊为一期肌纤维化的患者。采用标准的临床和实验室检查方法,对前臂和肩部肌肉进行超声检查。& # x0D;结果。主、对照组肌外膜和肌束厚度中值均为1期肌纤维化,参照组肌外膜厚度中值为1期,主组肌外膜厚度中值为2期。此外,主组肌外膜厚度第75百分位和肌束厚度第25百分位也符合肌纤维化2期标准。 的局限性。这项研究有性别限制(男性被调查),也有职业限制(矿工)。结论。超声检查结果显示,主组患者有肌纤维化向第二阶段过渡的体征,其特征为肌包膜厚度有统计学意义的增加,肌包膜厚度有明显的增加和肌束厚度减少的趋势。当疾病与职业相关时,这一点很重要,允许肌纤维化和广泛性骨关节炎合并的患者建立更严重阶段的肌纤维化病程,表明更明显程度的职业工作能力丧失。
{"title":"Features of the course of occupational upper limb myofibrosis in patients with generalized polyosteoarthritis","authors":"Ekaterina V. Ulanovskaya, Aleksandr A. Kovshov, Victor V. Shilov, Aleksandr N. Nikanov, Nadezhda I. Kuprina","doi":"10.47470/0016-9900-2023-102-9-941-946","DOIUrl":"https://doi.org/10.47470/0016-9900-2023-102-9-941-946","url":null,"abstract":"Introduction. Occupational diseases of the upper extremities from physical (functional) overstrain occupy a leading place in the structure of occupational morbidity, with myofibrosis being the most common disease.
 The aim of the study was to assess the course of myofibrosis against the background of generalized polyosteoarthritis using the ultrasound method.
 Materials and methods. One hundred seventeen mining industry workers were examined. The main group consisted of 20 patients with an established diagnosis of 1st stage of myofibrosis and generalized osteoarthritis, the control group consisted of 97 patients with an established diagnosis of 1st stage of myofibrosis. Standard clinical and laboratory methods of examination, ultrasound examination of the muscles of the forearms and shoulders were performed. 
 Results. The median values of epimysium and muscle bundles thickness in both the main and control groups correspond to stage 1 of myofibrosis, while the median thickness of perimysium in the reference group corresponds to stage 1, and in main group it corresponds to stage 2. In addition, the 75th percentile of epimysium thickness, as well as the 25th percentile of muscle bundle thickness in the main group, also meet the criteria for stage 2 of myofibrosis.
 Limitations. The study has gender restrictions (men were investigated), as well as restrictions on professions (mining workers).
 Conclusions. According to the results of ultrasound examination, in the main group patients there are signs corresponding to the transition of myofibrosis to the second stage, which is characterized by a statistically significant increase in perimysium thickness, as well as a pronounced tendency of epimysium thickness increase and reduce of muscle bundle thickness. This is important when the disease is associated with occupation, allowing patients with a combination of myofibrosis and generalized osteoarthritis to establish a more severe stage of myofibrosis course, indicating a more pronounced degree of occupational work ability loss.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"23 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Daily trend of blood pressure in staff under conditions of shift work of railway transport 铁路运输倒班条件下职工血压日变化趋势
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-914-920
Dmitry V. Alpaev, Vasily V. Serikov, Ekaterina V. Dmitrieva, Natalya A. Kostenko, Evgeniy V. Zhovnerchuk
Introduction. The results of the study of features of the daily rhythm of blood pressure in people who constantly work in a rotational shift schedule, arising under the influence of night shift work, are discussed. The purpose of the study was to determine the modifying effect of working night wakefulness on the parameters of the daily rhythm of blood pressure in persons employed in work with a night shift schedule. Materials and methods. The analysis was carried out, in two cohorts of 19 years – 62 years employees of locomotive crews of Russian Railways. The study included drivers, assistant locomotive drivers, for at least 1 year, with night shifts n = 30,566, the number of measurements = 4,497,122, but borderline (high normal) blood pressure. Results. The lowest levels of systolic blood pressure (SBP) were found to be recorded in a cohort of subjects per day with a night shift, the highest – in the general group of workers and in a cohort of subjects per day with a day shift. The daily trend of SBP was characterized by a regular change of phases in all observation groups. In the general group, a subgroup of persons with normotonia, in a cohort of subjects, when working on a day shift, a DECLINE curve of the same type in configuration was formed. Limitations. The representativeness of the sample size was ensured by the participation in the study of employees of locomotive crews with a range of ages of 19-62 years. The limitations of the study are related to the distribution of respondents by gender: there are no female respondents in the sample. Conclusions. Parameters of the daily rhythm of blood pressure sensitively react to changes in working hours. To the greatest extent, changes in the daily rhythm during the hours of night working wakefulness are typical for the indicators of the daily rhythm of diastolic blood pressure.
介绍。讨论了在夜班工作的影响下,经常轮班工作的人的日常血压节律特征的研究结果。 本研究的目的是确定夜间工作对夜班工作人员每日血压节律参数的调节作用。材料和方法。这项分析是在两个19岁的队列中进行的——62岁的俄罗斯铁路机车机组人员。该研究包括至少1年的司机,机车副司机,夜班n = 30,566,测量次数= 4,497,122,但血压处于边缘(高正常)。 结果。收缩压(SBP)的最低水平记录在每天上夜班的一组受试者中,最高水平记录在普通工人组和每天上白班的一组受试者中。各观察组收缩压的日变化趋势均有规律的阶段性变化。在一般组中,在一组受试者中,在白班工作时,形成了相同类型配置的DECLINE曲线。 的局限性。样本量的代表性通过对不同年龄区间的机车乘务人员参与研究来保证;19-62岁。本研究的局限性与受访者的性别分布有关:样本中没有女性受访者。 结论。血压日节律参数对工作时间的变化反应敏感。在最大程度上,在夜间工作醒着的时间内,日常节律的变化是典型的舒张压日常节律指标。
{"title":"Daily trend of blood pressure in staff under conditions of shift work of railway transport","authors":"Dmitry V. Alpaev, Vasily V. Serikov, Ekaterina V. Dmitrieva, Natalya A. Kostenko, Evgeniy V. Zhovnerchuk","doi":"10.47470/0016-9900-2023-102-9-914-920","DOIUrl":"https://doi.org/10.47470/0016-9900-2023-102-9-914-920","url":null,"abstract":"Introduction. The results of the study of features of the daily rhythm of blood pressure in people who constantly work in a rotational shift schedule, arising under the influence of night shift work, are discussed.
 The purpose of the study was to determine the modifying effect of working night wakefulness on the parameters of the daily rhythm of blood pressure in persons employed in work with a night shift schedule.
 Materials and methods. The analysis was carried out, in two cohorts of 19 years – 62 years employees of locomotive crews of Russian Railways. The study included drivers, assistant locomotive drivers, for at least 1 year, with night shifts n = 30,566, the number of measurements = 4,497,122, but borderline (high normal) blood pressure.
 Results. The lowest levels of systolic blood pressure (SBP) were found to be recorded in a cohort of subjects per day with a night shift, the highest – in the general group of workers and in a cohort of subjects per day with a day shift.
 The daily trend of SBP was characterized by a regular change of phases in all observation groups. In the general group, a subgroup of persons with normotonia, in a cohort of subjects, when working on a day shift, a DECLINE curve of the same type in configuration was formed.
 Limitations. The representativeness of the sample size was ensured by the participation in the study of employees of locomotive crews with a range of ages 
 of 19-62 years. The limitations of the study are related to the distribution of respondents by gender: there are no female respondents in the sample.
 Conclusions. Parameters of the daily rhythm of blood pressure sensitively react to changes in working hours. To the greatest extent, changes in the daily rhythm during the hours of night working wakefulness are typical for the indicators of the daily rhythm of diastolic blood pressure.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"23 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alterations of the nervous system in patients with vibration disease 振动病患者神经系统的改变
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-934-940
Dina V. Rusanova, Natalya V. Slivnitsyna, Oleg L. Lakhman
Introduction. An important aspect of prevention is the dynamic monitoring of workers exposed to the vibration in the workplace, which not only forms the basis for the diagnosis of occupational intoxication, but also ensures timely resolution of issues of examination of working capacity. Materials and methods. Twenty one male patient with an established diagnosis of vibration disease (VD) associated with exposure to local vibration. A dynamic survey was conducted, 3 observation periods were studied. Results. Over the 3rd period of the examination, the latency of N10 and N30 increased when compared with the 1st period. In periods 2 and 3, the duration of N13–N18 increased compared to period 1. The rate of pulse conduction (RPC) along the ulnar nerve decreased during period 2 when compared with period 1. Over the period 3, a decrease in RPC along the tibial nerve was revealed when compared with periods 1 and 2. During periods 2 and 3, the amplitude of the ulnar nerve action potential decreased when compared with period 1, along the afferent axons of the ulnar nerve the RPC decreased during period 2 when compared with 1. In period 3, the RPC along the median nerve decreased when compared with period 1. Limitations. The limitation of this study is that the dynamics of changes depending on the degree of vibration disease has not been analyzed. This task was not implemented due to the small number of observations in the sample. Conclusion. The progression of vibration disease syndromes and the degree of severity of vibration disease in dynamics were noted. The time of activation of neurons of the somatosensory zone of the cerebral cortex and the time of passage of the pulse from neurons of the cervical thickening to the thalamic structures in dynamics was found to slow down. There were increased disturbances in the conduction of the pulse along the axons at the level of the brachial plexus and from the brachial plexus to the lower parts of the brain stem. Demyelinating changes in the motor component of the peripheral nerves of the upper and lower extremities were aggravated in patients.
介绍。预防的一个重要方面是对工作场所接触振动的工人进行动态监测,这不仅构成了职业中毒诊断的基础,而且保证了工作能力检查问题的及时解决。材料和方法。21例确诊为与局部振动暴露相关的振动病(VD)的男性患者。进行了动态调查,研究了3个观察期。 结果。第3期N10、N30潜伏期较第1期增加。在第2和第3期,N13-N18的持续时间比第1期增加。与第1期相比,第2期尺神经的脉冲传导率下降。在第3期,与第1期和第2期相比,沿胫神经的RPC减少。在第2、3周期,与第1周期相比,尺神经动作电位的幅度减小,沿尺神经传入轴突的RPC在第2周期与第1周期相比减小。与第1期相比,第3期沿正中神经的RPC减少。 的局限性。本研究的局限性在于没有对振动病程度变化的动力学进行分析。由于样本中的观测值较少,因此没有执行此任务。& # x0D;结论。振动病证的进展和振动病在动力学中的严重程度被注意到。大脑皮层体感区神经元的激活时间和脉冲从颈增厚神经元到丘脑结构的动力学传递时间减慢。脉冲沿轴突传导在臂丛水平和从臂丛到脑干下部的干扰增加。患者上肢和下肢周围神经运动成分脱髓鞘变化加重。
{"title":"Alterations of the nervous system in patients with vibration disease","authors":"Dina V. Rusanova, Natalya V. Slivnitsyna, Oleg L. Lakhman","doi":"10.47470/0016-9900-2023-102-9-934-940","DOIUrl":"https://doi.org/10.47470/0016-9900-2023-102-9-934-940","url":null,"abstract":"Introduction. An important aspect of prevention is the dynamic monitoring of workers exposed to the vibration in the workplace, which not only forms the basis for the diagnosis of occupational intoxication, but also ensures timely resolution of issues of examination of working capacity.
 Materials and methods. Twenty one male patient with an established diagnosis of vibration disease (VD) associated with exposure to local vibration. A dynamic survey was conducted, 3 observation periods were studied.
 Results. Over the 3rd period of the examination, the latency of N10 and N30 increased when compared with the 1st period. In periods 2 and 3, the duration of N13–N18 increased compared to period 1. The rate of pulse conduction (RPC) along the ulnar nerve decreased during period 2 when compared with period 1. Over the period 3, a decrease in RPC along the tibial nerve was revealed when compared with periods 1 and 2. During periods 2 and 3, the amplitude of the ulnar nerve action potential decreased when compared with period 1, along the afferent axons of the ulnar nerve the RPC decreased during period 2 when compared with 1. In period 3, the RPC along the median nerve decreased when compared with period 1.
 Limitations. The limitation of this study is that the dynamics of changes depending on the degree of vibration disease has not been analyzed. This task was not implemented due to the small number of observations in the sample. 
 Conclusion. The progression of vibration disease syndromes and the degree of severity of vibration disease in dynamics were noted. The time of activation of neurons of the somatosensory zone of the cerebral cortex and the time of passage of the pulse from neurons of the cervical thickening to the thalamic structures in dynamics was found to slow down. There were increased disturbances in the conduction of the pulse along the axons at the level of the brachial plexus and from the brachial plexus to the lower parts of the brain stem. Demyelinating changes in the motor component of the peripheral nerves of the upper and lower extremities were aggravated in patients.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Susceptibility to antimicrobial preparations of Klebsiella pneumoniae strains isolated from patients in a multidisciplinary hospital 某多学科医院肺炎克雷伯菌分离株对抗菌制剂的敏感性
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-909-913
Lilia G. Gizatullina, Ahat B. Bakirov, Lyaylya M. Masyagutova, Rimma H. Kudakaeva, Alina R. Muzafarova
Introduction. The extraordinary genetic potential of microorganisms has benefited from human overuse antibiotics to develop multiple resistance mechanisms. The large size and heterogeneity of the Russian population, the presence of territories with significant differences in demographic, cultural, and socio-economic indicators, the features of the management and availability of medical care are significant factors influencing the spread of resistance genes to antibacterial therapy of some strains of microorganisms. Materials and methods. Susceptibility to twenty one antimicrobial agents of one hundred twenty eight Klebsiella pneumoniae isolates, isolated from various loci of patients in a multidisciplinary hospital, including 16% of strains from the lower respiratory tract, 44% from wounds and wound discharge, and 40% from urine, was assessed. Results. Among isolates from urine, 20% of isolates were found to have the multidrug resistance (MDR) phenotype, 42% had the extreme resistance phenotype (XDR). Among the isolates of Kl. pneumoniae from purulent wounds, 18% had the MDR phenotype, and 43% had the XDR phenotype. Among the isolates of Kl. Рneumoniae from the lower respiratory tract, 37% had the MDR phenotype, 40% had the XDR phenotype. There are no pan-resistant strains in all groups. The presence of genes for metallo-beta-lactamase (VIM, IMP, NDM groups) and serine carbapenemase (bovine and OXA-48) in molecular genetic study by real-time PCR of isolated Kl. pneumoniae was found in 73.4% of cases. The results of determining the sensitivity of the isolates revealed a low activity of amoxicillin / clavulanic acid, III and IV generation cephalosporins (ceftazidime, cefotaxime, cefepime). 86.7% of isolates are resistant to drugs of the aminoglycoside group (amikacin), and 100% to gentamicin. Of the group of carbapenems, meropenem showed the highest activity – 26.6%, about 7% were sensitive to ertapenem. From the group of fluoroquinolones, sensitivity ranged from 20 to 30%. The highest activity of all drugs was shown by ticarcillin/clavulanate – 33.3%. Limitations. The criteria for inclusion in the group of examination and selection of biomaterial were the presence of previous massive antibacterial therapy in the anamnesis, the presence of catheters, drains, etc. Conclusions. There was established a high proportion of strains Kl. pneumoniae with the phenotype of multiple antibiotic resistance.
介绍。微生物非凡的遗传潜力得益于人类过度使用抗生素而产生多种耐药机制。俄罗斯人口的庞大和异质性,人口、文化和社会经济指标存在显著差异的地区,医疗保健的管理特点和可获得性,是影响某些微生物菌株抗菌治疗耐药基因传播的重要因素。 材料和方法。评估从某多学科医院患者不同位点分离的128株肺炎克雷伯菌对21种抗菌药物的敏感性,其中16%来自下呼吸道,44%来自伤口和伤口分泌物,40%来自尿液;结果。尿液分离株中,20%为多重耐药表型(MDR), 42%为极耐药表型(XDR)。在化脓性伤口分离的肺炎链球菌中,18%为MDR表型,43%为XDR表型。Kl. Рneumoniae下呼吸道分离株中,37%为MDR表型,40%为XDR表型。在所有群体中都没有普遍耐药菌株。& # x0D;实时荧光定量PCR检测发现73.4%的肺炎链球菌分离株存在金属- β -内酰胺酶(VIM、IMP、NDM组)和丝氨酸碳青霉烯酶(牛和OXA-48)基因。& # x0D;菌株的敏感性测定结果显示,阿莫西林/克拉维酸、第三代和第四代头孢菌素(头孢他啶、头孢噻肟、头孢吡肟)的活性较低。对氨基糖苷类药物(阿米卡星)耐药率为86.7%,对庆大霉素耐药率为100%。碳青霉烯类中,美罗培南活性最高,达26.6%,约7%对厄他培南敏感。在氟喹诺酮类药物组中,敏感性从20%到30%不等。所有药物的活性最高的是替卡西林/克拉维酸酯,为33.3%。 的局限性。纳入生物材料检查和选择组的标准为:既往有大量抗菌药物治疗,有导管、引流管等;结论。结果表明,具有多重耐药表型的肺炎链球菌所占比例较高。
{"title":"Susceptibility to antimicrobial preparations of Klebsiella pneumoniae strains isolated from patients in a multidisciplinary hospital","authors":"Lilia G. Gizatullina, Ahat B. Bakirov, Lyaylya M. Masyagutova, Rimma H. Kudakaeva, Alina R. Muzafarova","doi":"10.47470/0016-9900-2023-102-9-909-913","DOIUrl":"https://doi.org/10.47470/0016-9900-2023-102-9-909-913","url":null,"abstract":"Introduction. The extraordinary genetic potential of microorganisms has benefited from human overuse antibiotics to develop multiple resistance mechanisms. The large size and heterogeneity of the Russian population, the presence of territories with significant differences in demographic, cultural, and socio-economic indicators, the features of the management and availability of medical care are significant factors influencing the spread of resistance genes to antibacterial therapy of some strains of microorganisms.
 Materials and methods. Susceptibility to twenty one antimicrobial agents of one hundred twenty eight Klebsiella pneumoniae isolates, isolated from various loci of patients in a multidisciplinary hospital, including 16% of strains from the lower respiratory tract, 44% from wounds and wound discharge, and 40% from urine, was assessed.
 Results. Among isolates from urine, 20% of isolates were found to have the multidrug resistance (MDR) phenotype, 42% had the extreme resistance phenotype (XDR). Among the isolates of Kl. pneumoniae from purulent wounds, 18% had the MDR phenotype, and 43% had the XDR phenotype. Among the isolates of Kl. Рneumoniae from the lower respiratory tract, 37% had the MDR phenotype, 40% had the XDR phenotype. There are no pan-resistant strains in all groups. 
 The presence of genes for metallo-beta-lactamase (VIM, IMP, NDM groups) and serine carbapenemase (bovine and OXA-48) in molecular genetic study by real-time PCR of isolated Kl. pneumoniae was found in 73.4% of cases. 
 The results of determining the sensitivity of the isolates revealed a low activity of amoxicillin / clavulanic acid, III and IV generation cephalosporins (ceftazidime, cefotaxime, cefepime). 86.7% of isolates are resistant to drugs of the aminoglycoside group (amikacin), and 100% to gentamicin. Of the group of carbapenems, meropenem showed the highest activity – 26.6%, about 7% were sensitive to ertapenem. From the group of fluoroquinolones, sensitivity ranged from 20 to 30%. The highest activity of all drugs was shown by ticarcillin/clavulanate – 33.3%.
 Limitations. The criteria for inclusion in the group of examination and selection of biomaterial were the presence of previous massive antibacterial therapy in the anamnesis, the presence of catheters, drains, etc.
 Conclusions. There was established a high proportion of strains Kl. pneumoniae with the phenotype of multiple antibiotic resistance.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"448 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety issues in the use of disinfectants based on polyhexamethyleneguanidine (literature review) 聚六亚甲基胍消毒剂使用中的安全问题(文献综述)
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-981-986
Yana I. Lebed-Sharlevich, Roman A. Mamonov
The article presents data of the analysis of scientific literature on the toxicity and danger of polyhexamethylene guanidine (PHMG) and based on it disinfectants, which have been widely used for several decades. The COVID-19 pandemic has contributed to a sharp increase in the use of disinfectants, making it important to study the safety of these substances. The presented materials confirm the effectiveness of PHMG and its compounds against a wide range of bacteria, viruses and fungi. The article discusses the mechanism of the bactericidal action of guanidine polymers, based on the destruction of the bacterial cell wall due to the electrostatic effect of positively charged substance molecules on anionic groups on the cellular wall. Methods for using disinfectants based on PHMG for sanitizing various surfaces and media are shown. The results of toxicological studies show that polyhexamethyleneguanidine compounds have low toxicity when taken orally, but pose a great danger to the respiratory system. With chronic exposure, they cause pulmonary fibrosis, a serious lung disease, associated with irreversible destruction of the lung architectonics, pulmonary insufficiency and impaired gas exchange due to excessive accumulation of proteins in the extracellular matrix. The use of disinfectants based on polyhexamethylene guanidine is not recommended for aerosol disinfection of indoor air in the presence of people. The presented data also indicate the need for additional toxicological studies to establish threshold doses of PHMG under inhalation exposure.
本文介绍了几十年来广泛使用的聚六亚甲基胍(PHMG)及其消毒剂的毒性和危险性的科学文献分析资料。2019冠状病毒病大流行导致消毒剂使用量急剧增加,因此研究这些物质的安全性非常重要。所提出的材料证实了PHMG及其化合物对多种细菌、病毒和真菌的有效性。本文从正电荷物质分子对细菌细胞壁阴离子基团的静电作用破坏细菌细胞壁的机理出发,探讨了胍类聚合物的杀菌作用机理。给出了使用基于PHMG的消毒剂对各种表面和介质消毒的方法。 毒理学研究结果表明,聚六亚甲基胍类化合物口服毒性较低,但对呼吸系统有很大危害。慢性暴露会导致肺纤维化,这是一种严重的肺部疾病,与肺结构的不可逆破坏、肺功能不全和由于细胞外基质中蛋白质的过度积累而导致的气体交换受损有关。在有人的室内空气中,不建议使用以聚六亚甲基胍为基础的消毒剂进行气溶胶消毒。所提供的数据还表明,需要进行额外的毒理学研究,以确定吸入暴露下的多环芳烃mg的阈值剂量。
{"title":"Safety issues in the use of disinfectants based on polyhexamethyleneguanidine (literature review)","authors":"Yana I. Lebed-Sharlevich, Roman A. Mamonov","doi":"10.47470/0016-9900-2023-102-9-981-986","DOIUrl":"https://doi.org/10.47470/0016-9900-2023-102-9-981-986","url":null,"abstract":"The article presents data of the analysis of scientific literature on the toxicity and danger of polyhexamethylene guanidine (PHMG) and based on it disinfectants, which have been widely used for several decades. The COVID-19 pandemic has contributed to a sharp increase in the use of disinfectants, making it important to study the safety of these substances. The presented materials confirm the effectiveness of PHMG and its compounds against a wide range of bacteria, viruses and fungi. The article discusses the mechanism of the bactericidal action of guanidine polymers, based on the destruction of the bacterial cell wall due to the electrostatic effect of positively charged substance molecules on anionic groups on the cellular wall. Methods for using disinfectants based on PHMG for sanitizing various surfaces and media are shown.
 The results of toxicological studies show that polyhexamethyleneguanidine compounds have low toxicity when taken orally, but pose a great danger to the respiratory system. With chronic exposure, they cause pulmonary fibrosis, a serious lung disease, associated with irreversible destruction of the lung architectonics, pulmonary insufficiency and impaired gas exchange due to excessive accumulation of proteins in the extracellular matrix. The use of disinfectants based on polyhexamethylene guanidine is not recommended for aerosol disinfection of indoor air in the presence of people. The presented data also indicate the need for additional toxicological studies to establish threshold doses of PHMG under inhalation exposure.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"16 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of the aerogenic risk in adolescent boys at various levels of physical activity 不同体力活动水平下青春期男孩的气源性风险评估
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.47470/0016-9900-2023-102-9-962-967
Natalya V. Efimova, Inna V. Mylnikova, Andrey N. Kudaev
Introdution. Aerogenic exposure to chemicals can contribute to the formation of violations of the main regulatory systems of the body. The aim is to assess the aerogenic risk to the health in adolescent boys at various levels of physical activity. Materials and methods. The content of chemicals in the air of sports halls of general education and sports schools was assessed by single samples, the risk was calculated from the average values of samples taken over 1 hour. The risk is calculated for young 13–17 years boys, taking into account somatometric indicators, the intensity of physical activity. Results. Somatometric indicators of adolescents with moderate and intense levels of activity corresponded to the age norm. The concentrations of suspended solids, sulfur dioxide and nitrogen, formaldehyde in the air of sports halls met the hygienic standards. An aerogenic risk at a moderate level of activity corresponded to hazard index (HI) = 1.5–1.9 at rest, HI = 1.9–2.3 after exercise; intensive level – HI=2.1–4 and HI=3.9–7, respectively. The value of HI at rest and after exercise by 57–58.9% is determined by the content of suspended solids, including PM2.5 = 30-32%, PM10 = 25-26.9%. Limitations of the study are due to the fact that when assessing the hazard index, not all chemicals that may be present in the air of sports facilities are taken into account. Conclusion. The study points to the need to control chemicals in the air of sports facilities and study the effect of chemicals on the state of the leading systems of adolescents, taking into account the level of physical activity.
选手。空气源暴露于化学物质可导致违反身体主要调节系统的形成。& # x0D;目的是评估不同体育活动水平的青少年男孩的有氧运动对健康的风险。& # x0D;材料和方法。采用单次采样法对普通高校体育场馆和体校的空气中化学物质含量进行评估,以1小时内采样的平均值计算风险。该风险是针对13-17岁的年轻男孩计算的,同时考虑了身体测量指标和身体活动强度。结果。中度和剧烈运动的青少年的身体测量指标符合年龄标准。体育场馆空气中悬浮物、二氧化硫、氮、甲醛等浓度均符合卫生标准。中度运动时的有氧风险对应于静止时的危险指数(HI) = 1.5-1.9,运动后的HI = 1.9-2.3;强化水平:HI= 2.1-4, HI= 3.9-7。静止和运动后HI值57-58.9%由悬浮固体含量决定,其中PM2.5 = 30-32%, PM10 = 25-26.9%. 本研究的局限性在于,在评估危害指数时,并没有考虑到体育设施空气中可能存在的所有化学物质。& # x0D;结论。该研究指出,需要控制体育设施空气中的化学物质,并研究化学物质对主要系统状态的影响 考虑到青少年的身体活动水平。
{"title":"Assessment of the aerogenic risk in adolescent boys at various levels of physical activity","authors":"Natalya V. Efimova, Inna V. Mylnikova, Andrey N. Kudaev","doi":"10.47470/0016-9900-2023-102-9-962-967","DOIUrl":"https://doi.org/10.47470/0016-9900-2023-102-9-962-967","url":null,"abstract":"Introdution. Aerogenic exposure to chemicals can contribute to the formation of violations of the main regulatory systems of the body. 
 The aim is to assess the aerogenic risk to the health in adolescent boys at various levels of physical activity. 
 Materials and methods. The content of chemicals in the air of sports halls of general education and sports schools was assessed by single samples, the risk was calculated from the average values of samples taken over 1 hour. The risk is calculated for young 13–17 years boys, taking into account somatometric indicators, the intensity of physical activity.
 Results. Somatometric indicators of adolescents with moderate and intense levels of activity corresponded to the age norm. The concentrations of suspended solids, sulfur dioxide and nitrogen, formaldehyde in the air of sports halls met the hygienic standards. An aerogenic risk at a moderate level of activity corresponded to hazard index (HI) = 1.5–1.9 at rest, HI = 1.9–2.3 after exercise; intensive level – HI=2.1–4 and HI=3.9–7, respectively. The value of HI at rest and after exercise by 57–58.9% is determined by the content of suspended solids, including PM2.5 = 30-32%, PM10 = 25-26.9%.
 Limitations of the study are due to the fact that when assessing the hazard index, not all chemicals that may be present in the air of sports facilities are taken into account. 
 Conclusion. The study points to the need to control chemicals in the air of sports facilities and study the effect of chemicals on the state of the leading systems 
 of adolescents, taking into account the level of physical activity.","PeriodicalId":12550,"journal":{"name":"Gigiena i sanitariia","volume":"193 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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