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Electromagnetic environment created by mobile communication base stations in the 5G pilot area 5G试验区移动通信基站创造的电磁环境
Q4 Medicine Pub Date : 2023-07-28 DOI: 10.47470/0016-9900-2023-102-6-538-543
S. Perov, O. Belaya
Introduction. In the context of 5G system integration for general public, the change of electromagnetic field background is expected. The electromagnetic field background will change in spectral composition, spatial and temporal distribution, which affects the methodological approaches of instrumental control and hygienic assessment. Materials and methods. In the 5G pilot area the frequency-selective, code-selective and broadband measurements were carried out for the actual and possible electromagnetic field assessment from GSM, UMTS, LTE and 5G/IMT-2020 base station at several points. Results. The research results have shown that the actual electromagnetic levels did not exceed 1.5 μW/cm2, the main part of actual (measured) level includes GSM and LTE base stations (1800 MHz). At some points, the main part of maximum possible electromagnetic field exposure did not exceed 8.5 μW/cm2 and created by the 5G/IMT-2020 traffic transmission beam from base station to the subscriber terminal. Limitations. The limitation of study is determined by the measurement conditions of 5G/IMT-2020 test operation modes in the pilot area, it is difficult to assess the actual EMF exposure from commercial networks user service. Conclusion. In the intensive progress of mobile communication, the frequency- and code-selective measuring instruments are necessary to improve approaches for instrumental control and evaluation for electromagnetic fields from various mobile communication, especially for 5G assessment.
介绍。在面向大众的5G系统集成背景下,电磁场背景的变化是可以预期的。电磁场背景会在光谱组成、时空分布等方面发生变化,影响仪器控制和卫生评价的方法学方法。材料和方法。在5G试验区,对GSM、UMTS、LTE和5G/IMT-2020基站在多个点上的实际和可能的电磁场进行了选频、选码和宽带测量。结果。研究结果表明,实际电磁电平不超过1.5 μW/cm2,实际(测量)电平的主要部分包括GSM和LTE基站(1800 MHz)。在某些点,5G/IMT-2020业务传输波束从基站到用户终端产生的最大可能电磁场暴露的主要部分不超过8.5 μW/cm2。的局限性。研究的局限性取决于试验区5G/IMT-2020测试运行方式的测量条件,难以评估商用网络用户业务的实际EMF暴露。结论。随着移动通信的深入发展,需要频率选择性和码选择性测量仪器来改进各种移动通信电磁场的仪器控制和评估方法,特别是5G评估。
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引用次数: 0
Stress at the workplace as a trigger for mental disorders and somatic diseases (literature review) 工作场所的压力是精神障碍和躯体疾病的诱因(文献综述)
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-466-473
A. Z. Fagamova, L. Karimova, V. Kaptsov, Z. F. Gimaeva, N. Muldasheva, I. V. Shapoval
Working environment psychosocial factors gain the increasing importance for occupational health so far. Based on literature, this review presents an analysis of available studies about relation between stress at the workplace and development or progression of both mental and somatic diseases. The Web of Science, Scopus, MedLine, RSCI, CyberLeninka databases were used to prepare the review. The results of studies have shown pathogenesis and circumstances of the development of various occupational diseases (cardiovascular, nervous, digestive, respiratory, musculoskeletal systems, cancer of various locaion), which can be affected by occupational stress. Workplace stress also has a significant impact on the central nervous system, including sleep, various mental disorders. The number of people suffering from bad habits increases due to workplace stress as well. Furthermore, the main directions of preventive measures to reduce the level of industrial stress are given.
目前,工作环境、社会心理因素对职业健康的影响越来越重要。本文在文献基础上,对工作压力与身心疾病发展或进展之间关系的现有研究进行了分析。本文使用了Web of Science、Scopus、MedLine、RSCI、CyberLeninka等数据库。研究结果表明,各种职业病(心血管、神经、消化、呼吸、肌肉骨骼系统、各种部位的癌症)的发病机制和发展情况都可能受到职业压力的影响。工作压力对中枢神经系统也有重大影响,包括睡眠、各种精神障碍。由于工作压力,养成不良习惯的人数也在增加。并提出了降低工业压力水平的主要预防措施方向。
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引用次数: 0
Features of the cytokine profile under its modification with technogenic factors in conditions of experiment in vitro (on the example of benz(a)pyrene and SARS-CoV-2 vaccine antigen) 体外实验条件下技术因子修饰的细胞因子谱特征(以苯并(a)芘与SARS-CoV-2疫苗抗原为例)
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-421-425
I. Alikina, O. Dolgikh
Introduction. The immune system plays the key role in the formation of adaptive responses and is the most sensitive to environmental exposures. An immune response under exposure to viruses or other factors is induced by toll-like receptors stimulating production of pro-inflammatory cytokines. Simultaneous exposure to exogenous chemical pollutants in ambient air modifies the adaptation process. Materials and methods. An in vitro experiment was accomplished on samples of peripheral blood. The study focused on a mixed population of immune-competent cells (n=64 samples). Effects produced by exogenous factors (benz(a)pyrene, SARS-CoV-2) and managing elements (interleukin-1β, cortisol) were considered influencing factors. All the lymphocyte cultures were incubated for 72 hours; after that, the quantitative content of cytokines in the samples was determined by the ELISA tests. Results. The inhibition of cytokines was experimentally demonstrated when the SARS-CoV-2 vaccine antigen was introduced into cell culture in combination with cortisol and an immunomodulator (IL-6, IL-10), and a significant decrease in the level of INF-gamma in samples with the addition of IL-1β was also noted. Benz(a)pyrene exerted a catalytic effect on the cytokine-producing function of immunocompetent cells with an increase in the production of IL-6 and IFN-gamma relative to spontaneous production. Suppression of cytokines (IL-6, IFN-gamma, and IL-10) was observed in samples containing vaccine antigens SARS-CoV-2, compared with the spontaneous level, which suggests the formation of possible mechanisms of post-vaccination complications. Limitations. The study has no limitations associated with the use of the selected methods or characteristics of the research objects. Conclusions. Experimental modelling in vitro made it possible to estimate the additive effects of the mixed action of benz(a)pyrene and SARS-CoV-2 (vaccine antigen) on protein molecules and hyperproduction of inflammatory modulators was evaluated. The study aimed to facilitate investigation of the examined mechanism and development of relevant programs for preventing risks of negative effects produced on health by chemical and biological factors.
介绍免疫系统在适应性反应的形成中起着关键作用,对环境暴露最敏感。暴露于病毒或其他因素下的免疫反应是由toll样受体刺激促炎细胞因子的产生而诱导的。同时暴露于环境空气中的外源性化学污染物会改变适应过程。材料和方法。对外周血样本进行了体外实验。这项研究的重点是免疫活性细胞的混合群体(n=64个样本)。外源性因素(苯并(a)芘、严重急性呼吸系统综合征冠状病毒2型)和管理元素(白细胞介素-1β、皮质醇)产生的影响被认为是影响因素。将所有淋巴细胞培养物孵育72小时;随后,通过ELISA测试测定样品中细胞因子的定量含量。后果当将严重急性呼吸系统综合征冠状病毒2型疫苗抗原与皮质醇和免疫调节剂(IL-6、IL-10)一起引入细胞培养物中时,实验证明了细胞因子的抑制作用,并且还注意到添加IL-1β后样品中的INFγ水平显著降低。Benz(a)芘对免疫活性细胞的细胞因子产生功能发挥催化作用,IL-6和IFN-γ的产生相对于自发产生增加。与自发水平相比,在含有疫苗抗原严重急性呼吸系统综合征冠状病毒2型的样本中观察到细胞因子(IL-6、IFN-γ和IL-10)的抑制,这表明疫苗接种后并发症的可能机制形成。局限性本研究对所选方法的使用或研究对象的特征没有任何限制。结论。体外实验建模使评估苯并(a)芘和严重急性呼吸系统综合征冠状病毒2型(疫苗抗原)的混合作用对蛋白质分子的相加效应成为可能,并评估了炎症调节剂的过量产生。该研究旨在促进对所检查的机制的调查,并制定相关计划,以防止化学和生物因素对健康产生负面影响的风险。
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引用次数: 0
Peculiarities of toxic effects produced by aluminum oxide nano- and microparticles under multiple inhalation exposure 多次吸入暴露下氧化铝纳米和微粒产生毒性效应的特性
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-502-508
M. Zemlyanova, N. Zaitseva, M. Stepankov
Introduction. Aluminum oxide nanoparticles (Al2O3 NPs) are widely used in nanotechnologies employed in various branches including chemical, food, and medical industry and perfume and cosmetics production. This high demand for Al2O3 NPs, given the wide-scale development of nanoindustries, can, in its turn, lead to ambient air pollution that creates public health risks under long-term exposure to it. Given that, it seems relevant to perform profound investigation with its focus on pathogenetic features of toxic effects produced by these nanoparticles and comparatively analyze them with effects produced by a micro-sized chemical analog under inhalation exposure to introduce more effective prevention. Materials and methods. We examined chemical properties of Al2O3, nano- and microparticles (MPs) in an experiment on Wistar rats, comparatively analyzed the results and described pathogenetic features of toxic effects produced by the examined particles under multiple inhalation exposure. Results. The examined samples were a nanomaterial judging by such parameters as particle size, shape, surface area, and total pore volume. They differed substantially from their micro-sized analog. Exposure to Al2O3 NPs causes more pronounced changes in the behaviour of rats relative to MPs. Under exposure to Al2O3 NPs, aluminum concentrations were statistically significantly by 1.62–55.2 times higher in the lungs, liver, brain and blood. The concentration of the examined elements was by 1.55–7.65 times higher in these organs as compared to exposure to the micro-sized particles. Exposure to Al2O3 NPs induced changes in biochemical indicators of negative effects against the control (exposure to micro-sized particles). We established higher activity of ALT, AST, AP, LDH, and elevated levels of direct bilirubin, GABA, glutamine acid, and MDA against the same indicators in the control group. Pathomorphological changes were identified in the lungs, brain, heart, and liver under exposure to Al2O3 NPs whereas exposure to the micro-sized analog induced such changes only in the lungs. Exposure to NPs induced more apparent changes in tissue structures in many organs. Limitations. The study involved only multiple inhalation exposure to Al2O3 NPs and MPs in an experiment on Wistar rats. Conclusion. Al2O3 NPs are more toxic than their micro-sized chemical analog; this is evidenced by a greater number of organs where bioaccumulation occurs, more apparent pathomorphological changes and pathological functional disorders. The study results should be considered when developing hygienic recommendations aimed at preventing and minimizing negative effects produced by Al2O3 NPs on human health.
介绍氧化铝纳米颗粒(Al2O3 NP)广泛应用于各种领域的纳米技术,包括化学、食品和医疗行业以及香水和化妆品生产。鉴于纳米工业的大规模发展,对Al2O3纳米颗粒的高需求反过来会导致环境空气污染,在长期暴露于环境空气中的情况下会给公众健康带来风险,对这些纳米颗粒产生的毒性作用的致病特征进行深入研究,并将其与吸入暴露下微小化学类似物产生的作用进行比较分析,以引入更有效的预防措施,似乎是有意义的。材料和方法。在Wistar大鼠实验中,我们检测了Al2O3、纳米颗粒和微米颗粒(MP)的化学性质,并对结果进行了比较分析,描述了所检测颗粒在多次吸入暴露下产生毒性作用的发病特征。后果通过颗粒大小、形状、表面积和总孔体积等参数判断,所检查的样品是纳米材料。它们与微型类似物有很大不同。相对于MPs,暴露于Al2O3 NP会导致大鼠行为发生更显著的变化。在暴露于Al2O3 NP的情况下,肺、肝、脑和血液中的铝浓度在统计学上显著增加了1.62–55.2倍。与暴露于微米级颗粒相比,这些器官中被检测元素的浓度高出1.55–7.65倍。暴露于Al2O3 NPs引起了对对照的负面影响的生化指标的变化(暴露于微米级颗粒)。对照组ALT、AST、AP、LDH活性升高,直接胆红素、GABA、谷氨酰胺和MDA水平升高。在暴露于Al2O3 NP的情况下,在肺、脑、心脏和肝脏中发现了病理形态学变化,而暴露于微米大小的类似物仅在肺中诱导了这种变化。暴露于NPs会导致许多器官的组织结构发生更明显的变化。局限性该研究仅涉及在Wistar大鼠的实验中多次吸入Al2O3 NP和MPs。结论Al2O3纳米颗粒比其微米级化学类似物毒性更大;更多的器官发生生物累积,更明显的病理形态学变化和病理功能紊乱就是证明。在制定旨在预防和尽量减少Al2O3 NP对人类健康产生的负面影响的卫生建议时,应考虑研究结果。
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引用次数: 0
Analysis of risk factors for the formation of functional disorders of the respiratory system in metalworking employees 金工职工呼吸系统功能障碍形成的危险因素分析
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-439-444
S. V. Raikova, S. Mazilov, Nataliia E. Komleva, N. S. Kuznetsov, E. V. Bobyleva
Introduction. Employees of the main occupations of metalworking production are exposed to a complex of harmful production and non-production factors contributing to the formation of bronchopulmonary pathology. The identification of priority factors leading to the development of diseases of the respiratory system is important in order to develop methods of effective prevention of bronchopulmonary diseases in employees of the metalworking industry. Materials and methods. As part of the cross-sectional study, the medical and social aspects and the health status of three hundred metalworking employees were studied. A hygienic assessment of the factors of the working environment and the labour process was carried out. The results of the study were statistically processed using the Statistica 10 software. Results. There was a discrepancy in the number of workers with an established diagnosis of bronchopulmonary disease and the number of workers complaining from the respiratory system and having physical and spirometric disorders. Workers were established to be exposed to a complex of harmful chemicals of hazard classes 1–4, having an irritating, carcinogenic, sharply directed mechanism of action on the human body (classes 2–3.2) and aerosols of predominantly fibrogenic action (class 2). The harmful chemical factor affecting metalworking employees did not have a significant effect on the formation of functional disorders of the respiratory system. The priority risk factor for the development of bronchopulmonary pathology in metalworking employees is the use of tobacco smoking products. Limitations. The study has regional (Saratov region) and occupational (metalworking employees) limitations. Conclusion. The priority risk factor for the development of bronchopulmonary pathology is the use of smoking tobacco products, and the impact of a harmful chemical factor that had an insignificant effect on the formation of functional disorders of the respiratory system of metalworking employees.
介绍金属加工生产的主要职业的员工暴露在有害的生产和非生产因素的复杂环境中,导致支气管肺病理的形成。识别导致呼吸系统疾病发展的优先因素对于制定有效预防金属加工行业员工支气管肺疾病的方法至关重要。材料和方法。作为横断面研究的一部分,对300名金属加工员工的医疗和社会方面以及健康状况进行了研究。对工作环境和劳动过程的因素进行了卫生评估。使用Statistica 10软件对研究结果进行统计处理。后果确诊为支气管肺病的工人人数与抱怨呼吸系统和身体及肺活量异常的工人人数存在差异。工人被确定接触危害等级为1-4的有害化学物质复合体,对人体具有刺激性、致癌性和直接作用机制(等级为2-3.2),气溶胶主要具有纤维化作用(等级为2)。影响金属加工员工的有害化学因素对呼吸系统功能紊乱的形成没有显著影响。金属加工员工发生支气管肺病理的首要危险因素是使用吸烟产品。局限性该研究有地区(萨拉托夫地区)和职业(金属加工员工)限制。结论支气管肺病理发展的首要风险因素是吸烟烟草制品的使用,以及对金属加工员工呼吸系统功能紊乱形成影响不大的有害化学因素的影响。
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引用次数: 0
Distribution of micro-sized range solid particles in the human airways: field experiment 人体气道中微尺度固体颗粒的分布:现场实验
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-412-420
N. Zaitseva, D. Kiryanov, S. Kleyn, M. Tsinker, A. Andrishunas
Introduction. Ambient air pollution is a widespread and pressing issue. This necessitates the development of methods for estimating and predicting progression of pathologies on the base of evolutionary mathematical models. Adaptation of the theoretical model to practice requires identification and verification procedures in real conditions of contamination of inhaled air with dust particles of various compositions. The purpose of the work was to investigate regularities of distribution of dust particles with a different disperse, component and morphological structure in the human airways after inhalation from ambient air. The study involved performing a field experiment. Materials and methods. We accomplished several investigations in 3 zones with different levels and structures of ambient air pollution. Disperse, component, and morphological structures of particles occurring in ambient (inhaled), deposited in various sections of the human airways, in exhaled air and blood were examined by electronic microscopy. Results. Air quality in zones 1 and 2 did not comply with hygienic standards for suspended particles, PM10, PM2.5, metal compounds, etc. (up to 3.29 MPCm.s., 3.2 MPCav.s., 2.91 MPCav.y.) and formed increased hazard quotient for manganese, copper, nickel and their compounds, inorganic fluorides, suspended particles (up to 5.48 HQac, 3.42 HQch), respiratory and other hazard indices (up to 5.48 HIac, 8.59 HIch). The degree of sedimentation of small particles (PM2.5 or less) in different parts of the respiratory tract is uneven, they are able to penetrate into the lower airways and lungs of humans. More than 65% of all the particles deposited in the upper airways had a diameter bigger than 10 µm. PM2.5 accounted for more than 60 % in sputum in the lower airways and the share of PM1.5 reached 46.7 %. Particles smaller than 1.5 μm (90.5%) were predominantly recorded in blood biosubstrates, of which up to 88.1% of the particles had a sphericity of 0.9–1.0. Limitations. Limited degree of precision of location of the examined sections in the respiratory system. Conclusion. Common deposition regularities are mostly determined by sizes and morphology of dust particles. The component structure of inhaled air has practically no effects on regularities of particle deposition in various sections of the respiratory system; however, it can have substantial influence on types of pathologies progressing in the body. High shares of PM1.5 identified in inhaled air, the lower airways and blood require considering levels of PM1.5 and smaller particles in ambient air in settlements to be covered by hygienic standards. In future, the study results will be used in numeric modelling of accumulation of functional respiratory disorders and associated pathologies of other organs and systems and in predicting development of pathologies based on evolution mathematical models.
介绍环境空气污染是一个普遍而紧迫的问题。这就需要在进化数学模型的基础上开发用于估计和预测病理进展的方法。为了使理论模型适应实际,需要在吸入空气中各种成分的灰尘颗粒污染的真实条件下进行识别和验证程序。本工作的目的是研究从环境空气中吸入不同分散性、成分和形态结构的灰尘颗粒在人体气道中的分布规律。这项研究包括进行实地实验。材料和方法。我们在3个不同环境空气污染水平和结构的区域完成了几项调查。通过电子显微镜检查了环境(吸入)中颗粒的分散、成分和形态结构,这些颗粒沉积在人类气道的各个部分、呼出的空气和血液中。后果1区和2区的空气质量不符合悬浮颗粒物、PM10、PM2.5、金属化合物等的卫生标准(高达3.29 MPCm.s.、3.2 MPCav.s.、2.91 MPCav.y.),锰、铜、镍及其化合物、无机氟化物、悬浮颗粒物的危险系数增加(高达5.48 HQac、3.42 Hch.),呼吸和其他危险指数(高达5.48 HIac、8.59 HIch)。小颗粒物(PM2.5或更低)在呼吸道不同部位的沉积程度是不均匀的,它们能够渗透到人类的下呼吸道和肺部。沉积在上呼吸道的所有颗粒中,超过65%的颗粒直径大于10µm。PM2.5在下呼吸道痰液中所占比例超过60%,PM1.5所占比例达到46.7%。小于1.5μm(90.5%)的颗粒主要记录在血液生物基质中,其中高达88.1%的颗粒的球形度为0.9–1.0。局限性呼吸系统中检查部位的定位精度有限。结论常见的沉积规律主要由尘粒的大小和形态决定。吸入空气的成分结构实际上对呼吸系统各部分颗粒沉积的规律没有影响;然而,它可以对身体内的病理类型产生重大影响。在吸入空气、下呼吸道和血液中发现的高比例PM1.5需要考虑定居点环境空气中的PM1.5和较小颗粒物的水平,以纳入卫生标准。未来,研究结果将用于功能性呼吸系统疾病和其他器官和系统相关病理的积累的数字建模,以及基于进化数学模型预测病理的发展。
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引用次数: 0
Assessment of estimating people’s satisfaction with ambient air quality in a city participating in the ‘Clean air’ Federal project 参与“清洁空气”联邦项目的城市中人们对环境空气质量的满意度评估
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-426-432
N. Lebedeva-Nesevrya, Anastasiia О. Barg, Mariia D. Kornilitsyna
Introduction. People’s satisfaction with ambient air quality is a significant indicator to estimate effectiveness of activities performed by authorities when they aim to provide sanitary-epidemiological wellbeing. Still, it is hardly ever used in management practices in Russia. Methods for estimating satisfaction are multiple, rather controversial, and this might be the reason for neglecting the indicator. The aim of this study to substantiate and test the methodology for estimating people’s satisfaction with ambient air quality on a territory included into the ‘Clean Air’ Federal project. Materials and methods. The empirical base was provided by the results of an online survey accomplished in a large industrial city in Russia. The total sample included five hundred five people. The applied method was quota sampling as per age and gender. The data were analyzed by descriptive and inductive statistics. Results. People’s satisfaction with ambient air quality was measured with an integral index that considered its multidimensional essence. It turned out to be rather low. Indirect indicators of satisfaction that usually describe subjective perception of ambient air quality and its specific components cannot always provide an adequate base for making any conclusions about levels of people’s satisfaction. Limitations. The study has certain limitation associated with a territory where it has been accomplished; this territory has high anthropogenic burdens on the environment. Conclusion. The integral index of people’s satisfaction with ambient air quality has good descriptive capability and can be used to monitor subjective indicators of people’s quality of life.
介绍。人们对环境空气质量的满意度是评估当局旨在提供卫生流行病学福利的活动有效性的一个重要指标。尽管如此,它在俄罗斯的管理实践中几乎从未被使用过。估计满意度的方法多种多样,颇有争议,这可能是忽略该指标的原因。这项研究的目的是证实和测试在“清洁空气”联邦项目所涵盖的领土上估计人们对环境空气质量满意度的方法。材料和方法。实证基础是在俄罗斯某大型工业城市完成的一项在线调查的结果。总样本包括550人。采用按年龄和性别定额抽样的方法。采用描述性统计和归纳统计对数据进行分析。结果。人们对环境空气质量的满意度是用考虑其多维本质的积分指标来衡量的。结果是相当低。通常描述对环境空气质量及其具体组成部分的主观感知的间接满意指标,并不总是为得出关于人们满意程度的任何结论提供充分的基础。的局限性。这项研究在其完成的地区有一定的局限性;这片领土对环境有很高的人为负担。结论。人们对环境空气质量满意度的综合指标具有较好的描述能力,可用于监测人们生活质量的主观指标。
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引用次数: 0
Risk factors for health in medical workers of modern dental practice (literature review) 现代牙科医务人员健康危险因素分析(文献综述)
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-452-456
A. D. Trubetskov, M.N. Makhonko, Nataliia V. Shkrobova, T. Shelekhova, Darya A. Chuslyaeva
The analysis of the data of foreign and domestic literature devoted to the main risk factors for health is carried out and presented, the diseases of medical workers of modern dental practice that are more common at present are studied and described. A distinctive feature of the work of practicing dentists is the influence on their body of a complex of unfavourable factors of the production environment of occupational and non-occupational genesis (biological, chemical, physical and factors of the labour process). It is also common for them to be affected by the intensity of the labour process, which is expressed by significant psycho-emotional stress. Dentists are often at high risk of infection and transmission of dangerous pathogens: viruses (herpes, human immunodeficiency virus, hepatitis B and C, including new coronavirus infection (COVID-19)), bacteria (staphylococcus, tuberculosis), fungi. They have a high prevalence of injuries to the visual organ and upper extremities, allergic reactions. Among dental personnel in countries using amalgam during work, changes in neuropsychiatric reactions, memory loss, and fatigue are described; changes in biochemical parameters of blood, urine analysis are revealed. Physiological and ergonomic loads of dental service specialists and uncomfortable postures associated with work lead to the development of diseases of the musculoskeletal system and the appearance of pain, and affect their quality of life. Despite the harmlessness of the noise level in modern dentistry, the sounds produced by devices at work affect the mental health of dentists. Dental professionals with long work experience are predisposed to the highest risk of hearing loss. Today, dentists continue to show carpal tunnel syndrome and rarely vibration disease from exposure to local vibration. Medical workers of modern dental practice are shown to be affected by a complex of unfavourable factors of the low-intensity production environment and develop diseases associated with their occupational activities.
对国内外有关健康主要危险因素的文献资料进行了分析,对目前较为常见的现代口腔医学工作者的疾病进行了研究和描述。执业牙医工作的一个显著特点是,职业和非职业成因的生产环境的一系列不利因素(生物、化学、物理和劳动过程因素)对他们的身体产生影响。他们也经常受到劳动过程强度的影响,这表现为显著的心理-情绪压力。牙医感染和传播危险病原体的风险通常很高:病毒(疱疹、人类免疫缺陷病毒、乙型和丙型肝炎,包括新型冠状病毒感染(新冠肺炎))、细菌(葡萄球菌、结核病)、真菌。他们的视觉器官和上肢损伤、过敏反应的发生率很高。在工作中使用汞合金的国家的牙科人员中,描述了神经精神反应、记忆力丧失和疲劳的变化;揭示了血液、尿液生化参数的变化。牙科服务专家的生理和人体工程学负荷以及与工作相关的不舒服姿势会导致肌肉骨骼系统疾病的发展和疼痛的出现,并影响他们的生活质量。尽管现代牙科的噪音水平无害,但工作中设备产生的声音会影响牙医的心理健康。具有长期工作经验的牙科专业人员易患听力损失的风险最高。如今,牙医继续表现出腕管综合征,很少有因暴露于局部振动而引起的振动性疾病。现代牙科诊所的医务工作者受到低强度生产环境的一系列不利因素的影响,并患上与其职业活动有关的疾病。
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引用次数: 0
Biochemical indicators of the lipid metabolism in workers involved in the processing of raw materials and production of rare metal products 参与原料加工和稀有金属产品生产的工人脂质代谢的生化指标
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-433-438
M. Zemlyanova, E. V. Peskova, J. V. Koldibekova, A. V. Nedoshitova, V. Ukhabov
Introduction. In recent years, the use of rare earth elements has been expanding in various innovative research and high-tech industries, which leads to an increase in the volume of their extraction and processing and makes it possible to develop a negative impact on the health of workers under conditions of long-term industrial exposure to rare earth elements with the air of the working area. The purpose of the work is to study and evaluate the deviations of the biochemical parameters of the lipid spectrum in workers, due to the chemical factors of the technological process of processing raw materials and production of rare metal products. Materials and methods. The study and evaluation of the content of rare earth elements in the blood of workers, the study of biochemical parameters, statistical analysis, modelling of cause-and-effect relationships were carried out. Results. Workers exposed to rare-earth elements with the air of the working area (100% of workplaces) showed increased concentrations of holmium, dysprosium, yttrium, neodymium, niobium and terbium in the blood from 1.5 to 2.5 times compared to similar indicators in workers who were not associated with technological process. Elevated levels of total cholesterol, VLDL and triglycerides in blood serum, a decrease in the total antioxidant activity of blood plasma in workers relative to the physiological norm and similar indicators in the comparison group were established. A significant relationship of the identified deviations with an increased blood concentration of niobium, dysprosium and holmium has been proven. Limitations. The study took into account the aerogenic inhalation effect of rare earth elements on the health of workers involved in the processing of raw materials and production of rare metal products. Conclusion. Long-term inhalation exposure to rare earth elements contained in the air of the working area caused changes in biochemical parameters, reflecting the depletion of antioxidant defense resources, inducing disorders of lipid metabolism. The identified negative effects in workers can lead to pro-atherogenic vascular inflammation under conditions of continuing industrial exposure. The obtained results should be taken into account for the development of recommendations aimed at minimizing the negative consequences of the impact of the studied chemical factors of the labour process on the health of workers.
介绍。近年来,稀土元素在各种创新研究和高科技产业中的使用不断扩大,导致其提取和加工量增加,并有可能在工作区域空气中长期工业接触稀土元素的条件下对工人的健康产生负面影响。本工作的目的是研究和评价由于加工原材料和稀有金属制品生产工艺过程中的化学因素而导致的工人脂质谱生化参数的偏差。材料和方法。对工人血液中稀土元素含量进行了研究和评价,对生化参数进行了研究,进行了统计分析,建立了因果关系模型。结果。与工作区域(100%的工作场所)的空气一起暴露于稀土元素的工人,血液中钬、镝、钇、钕、铌和铽的浓度比与技术过程无关的工人的类似指标增加1.5至2.5倍。建立对照组工人血清总胆固醇、VLDL、甘油三酯水平升高,血浆总抗氧化活性相对生理正常值下降等指标。已证实,已确定的偏差与血液中铌、镝和钬浓度的增加有显著关系。的局限性。这项研究考虑到稀土元素对参与原材料加工和稀有金属产品生产的工人健康的吸入效应。结论。长期吸入工作区空气中所含稀土元素引起生化参数变化,反映抗氧化防御资源耗竭,诱发脂质代谢紊乱。在持续的工业暴露条件下,已确定的对工人的负面影响可导致促动脉粥样硬化血管炎症。在制定建议时,应考虑到所获得的结果,以尽量减少所研究的劳动过程中的化学因素对工人健康的负面影响。
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引用次数: 0
Relationship of the superoxide dismutase 2 (SOD2) gene Ala16Val polymorphism with risk factors for the cardiovascular disease in iron and steel production employees 钢铁生产职工超氧化物歧化酶2 (SOD2)基因Ala16Val多态性与心血管疾病危险因素的关系
Q4 Medicine Pub Date : 2023-06-20 DOI: 10.47470/0016-9900-2023-102-5-457-461
I.A. Bereza, A. M. Amromina, D. Shaikhova, Alexandr S. Shastin, V. Gazimova, S. G. Astakhova, M. Sutunkova
Introduction. Cardiovascular diseases are the leading cause of death in the population, their diagnosis and prevention are of great importance nowadays. Ferrous metallurgy workers are exposed to occupational risk factors, which, together with a genetic predisposition, can induce and affect progression of diseases of the circulatory system. The Ala16Val (rs4880) polymorphism influences the functioning of the superoxide dismutase enzyme, which catalyzes the first step in the removal of reactive oxygen species, and can be therefore associated with cardiovascular diseases and comorbidities. Our objective was to study the relationship between SOD2 gene Ala16Val polymorphism and blood pressure, body mass index, and biochemical blood test parameters (total cholesterol and glucose levels) in iron and steel production employees. Materials and methods. The study cohort included ninety eight 24 to 66 years (mean: 48.8 ± 8.3 years) male patients working in the converter shop of a metallurgical plant. Genomic DNA was isolated using the LumiPure kit (Lumiprobe, Russia) in accordance with the manufacturer’s instructions for use. Genotyping was performed using a QuantStudioTM 3 real-time PCR system (ThermoFisher, USA) and a commercial SNP-Screen kit (Synthol, Russia). Results. The Val/Val genotype was associated with higher systolic and diastolic blood pressure, and total blood cholesterol. Limitations. The study limitations include the lack of comprehensive data on working conditions in the sanitary and hygienic characteristics presented. There is no control group in the study, which does not allow assessing the contribution of occupational risk factors to the development of cardiovascular diseases in carriers of the Val/Val genotype. However, our sample can be considered representative, which allows applying the findings to assessing health risks for the adult working-age population involved in ferrous metals production with account for regional features. Conclusion. We assume that the Val/Val genotype is associated with risk factors for cardiovascular disease in the metallurgists due to the reduced antioxidant potential.
介绍心血管疾病是人群死亡的主要原因,其诊断和预防在当今具有重要意义。黑色冶金工人暴露于职业风险因素中,这些因素加上遗传易感性,可以诱导和影响循环系统疾病的进展。Ala16Val(rs4880)多态性影响超氧化物歧化酶的功能,该酶催化活性氧去除的第一步,因此可能与心血管疾病和合并症有关。我们的目的是研究钢铁生产员工SOD2基因Ala16Val多态性与血压、体重指数和血液生化测试参数(总胆固醇和葡萄糖水平)的关系。材料和方法。该研究队列包括在冶金厂转炉车间工作的98名24至66岁(平均48.8±8.3岁)的男性患者。根据制造商的使用说明,使用LumiPure试剂盒(Lumiprobe,Russia)分离基因组DNA。使用QuantStudioTM 3实时PCR系统(ThermoFisher,USA)和商业SNP Screen试剂盒(Synthol,Russia)进行基因分型。后果Val/Val基因型与较高的收缩压和舒张压以及血液总胆固醇有关。局限性研究的局限性包括缺乏关于工作条件的卫生和卫生特征的全面数据。研究中没有对照组,不允许评估职业风险因素对Val/Val基因型携带者心血管疾病发展的贡献。然而,我们的样本可以被认为是有代表性的,这使得我们可以将研究结果应用于评估参与黑色金属生产的成年工作年龄人群的健康风险,并考虑到区域特征。结论我们认为,由于抗氧化能力降低,Val/Val基因型与冶金学家心血管疾病的风险因素有关。
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