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On the issue of assessing the blood lipid spectrum in working men of different ages 关于评估不同年龄工作男性的血脂谱问题
Pub Date : 2024-04-10 DOI: 10.47470/0016-9900-2024-103-3-246-252
R. Rakhmanov, E. Bogomolova, Sergei A. Razgulin, D. Narutdinov, Stepan N. Antyuganov, E. A. Kalyuzhny
Introduction. Harmful working conditions contribute to the development of dyslipidemia Goal – assessment of the blood lipid spectrum in men of different age groups under conditions of occupational stress. Materials and methods. We analyzed the lipid spectrum of the blood in men aged up to 40 years (groups No. 1, 2 with different work experience, n=22 and n=20) and over 40 years of age (group No. 3, n=20). Assessed working conditions. Nutritional status, diet, physical activity, tobacco smoking, and alcohol consumption were determined. Result. Working conditions are harmful in terms of tension of 3.2 degrees. Physical activity is insufficient, 47.3% have three meals a day, 52.7% have two meals a day. In groups under 40 years of age with different years of experience, 68.2% and 63.2% are overweight; in people over 40 years old, 55.0% are overweight, class I obesity. at 20.0%. The proportion of smokers is 4.5%, 10.0% and 20.0%. With increasing age and experience, triglycerides increased (from 1.12±0.95 to 1.53±0.94 (p=0.022), total cholesterol (from 5.04±1.22 to 6.31±1.2, p=0.001), low-density lipoproteins (from 3.8±0.98 to 4.83± 1.11, p=0.01) mmol/l; proportions of people with hypertriglyceridemia (from 9.1 to 43.8%), hypercholesterolemia (from 40.9% to 93.7%), high LDL-C (from 47.6 to 93.75%); in subgroup No. 1, 19.0%, No. 2, 33.4% had HDL-C below normal. Lipid atherogenicity increased from 3.34±0.13 to 3.95±0.27 (p=0.031). Limitations. Men under 40 and over 40 years of age with varying years of experience working in hazardous work conditions. Conclusion. Hard work with poor nutrition and physical inactivity contributes to atherogenic changes in blood lipids. It is proposed to expand the list of studies to assess the atherogenicity of lipids in trained workers; in people with strenuous work, determine at an earlier age for the prevention of cardiovascular diseases.
导言。有害的工作条件会导致血脂异常的发生 目标--评估不同年龄组男性在职业压力条件下的血脂谱。材料和方法我们分析了 40 岁以下(1、2 组,工作经验不同,人数分别为 22 和 20)和 40 岁以上(3 组,人数为 20)男性的血脂谱。评估工作条件。对营养状况、饮食、体力活动、吸烟和饮酒量进行了测定。结果工作条件有害,紧张度为 3.2 度。体力活动不足,47.3%的人一日三餐,52.7%的人一日两餐。在不同工作年限的 40 岁以下人群中,分别有 68.2% 和 63.2% 的人超重;在 40 岁以上人群中,55.0% 的人超重,I 级肥胖率为 20.0%。吸烟者的比例分别为 4.5%、10.0% 和 20.0%。随着年龄和阅历的增加,甘油三酯增加(从1.12±0.95到1.53±0.94,p=0.022),总胆固醇增加(从5.04±1.22到6.31±1.2,p=0.001),低密度脂蛋白增加(从3.8±0.98到4.83±1.11,p=0.01)毫摩尔/升;高甘油三酯血症(从9.1%增至43.8%)、高胆固醇血症(从40.9%增至93.7%)、高低密度脂蛋白胆固醇(从47.6%增至93.75%)的比例;在1号亚组中,19.0%、2号亚组中,33.4%的人的高密度脂蛋白胆固醇低于正常水平。血脂致动脉粥样硬化性从 3.34±0.13 升至 3.95±0.27(P=0.031)。局限性。年龄在 40 岁以下和 40 岁以上的男性,他们在危险工作环境中工作的年限各不相同。结论辛勤工作、营养不良和缺乏运动会导致血脂发生致动脉粥样硬化变化。建议扩大研究范围,评估训练有素的工人血脂的致动脉粥样硬化性;评估从事艰苦工作的人的血脂的致动脉粥样硬化性;确定预防心血管疾病的较早年龄。
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引用次数: 0
On the issue of resolving disputes about the compliance of the research object with regulatory requirements 关于解决研究对象是否符合监管要求的争议问题
Pub Date : 2024-04-10 DOI: 10.47470/0016-9900-2024-103-3-223-226
Yurij A. Rahmanin, Oleg M. Rozental
Conclusions on the fulfillment or violation of regulatory requirements ensuring the hygienic safety of the research object of the supervised object are carried out by state sanitary and epidemiological supervision bodies based on the results of laboratory studies of controlled indicators. These are, in particular, conclusions on the safety of drinking water sources for the population. The composition and properties of this water, on the instructions of sanitary and epidemiological supervision bodies and water supply institutions, can be examined equally by accredited laboratories that comply with the accreditation criteria in carrying out their activities. At the same time, unfortunately, it is impossible to guarantee the same results of laboratory testing of controlled microbiological, chemical, and other indicators, due to their variability and measurement errors. As a result, the conclusions about the quality and safety of water obtained by the supervisory authority and the supplier (user), primarily in cases concerning the boundary values of hygiene standards, may differ. For constructive resolution of controversial situations arising in this case, this paper proposes a method of tolerance control, the result of which is a logical judgment on the compliance or non-compliance of controlled quantities with established standards. It is shown how this reduces the risk of erroneous recognition of non-compliance of the composition or properties of water with hygienic requirements and guarantees safe water supply to the population. Authors suggested equations of admission control to assess compliance with the requirements of sanitary, epidemiological, and hygienic safety of controlled facilities. A method convenient for practical use is proposed, and using a specific example of monitoring the water quality of wells in the Talitsky district of the Sverdlovsk region, it is shown how it is possible to establish the water safety of almost half of the initially rejected water sources. The use of tolerance control is recommended if it is necessary to increase the reliability of hygienic conclusions on the safety of a wide range of supervised facilities, for which convenient mathematical expressions are given.
国家卫生和流行病学监督机构根据对受控指标的实验室研究结果,就受监督对象的 研究对象是否符合或违反确保卫生安全的法规要求做出结论。这些尤其是关于居民饮用水源安全的结论。根据卫生和流行病学监督机构和供水机构的指示,这些水的成分和性质同样可以由在开展活动时遵守认证标准的认证实验室进行检验。同时,遗憾的是,由于微生物、化学和其他受控指标的可变性和测量误差,无法保证实验室检测结果的一致性。因此,监管机构和供应方(用户)获得的水质安全结论可能会有所不同,主要是在涉及卫生标准边界值的情况下。为了建设性地解决这种情况下出现的争议,本文提出了一种容差控制方法,其结果是对控制量是否符合既定标准做出逻辑判断。本文说明了这种方法如何降低错误识别水的成分或特性不符合卫生要求的风险,并保证向居民安全供水。作者提出了评估受控设施是否符合卫生、流行病学和卫生安全要求的准入控制方程。作者提出了一种便于实际使用的方法,并以斯维尔德洛夫斯克地区塔利茨基区的水井水质监测为例,说明了如何确定近一半最初被拒绝的水源的水质安全。如果有必要提高关于各种受监督设施安全的卫生结论的可靠性,建议使用容差控制,并给出了方便的数学表达式。
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引用次数: 0
Assessment of the biological effect of natural silicon when entering the body of experimental animals with drinking water. Part 1 天然硅随饮用水进入实验动物体内时的生物效应评估。第一部分
Pub Date : 2024-04-10 DOI: 10.47470/0016-9900-2024-103-3-190-197
N. A. Egorova, Yuriy A. Rakhmanin, Rufina I. Mikhailova, Ljudmila V. Khrypach, A.V. Alekseeva, I. N. Ryzhova, M. G. Kochetkova, T. D. Knyazeva
Introduction. The biological effect of natural silicon (Si) and its hygienic regulation in drinking water still remain subjects of controversy in the scientific literature and in the practice of providing favourable conditions for water use by the population. In this regard, an assessment was made of the effect of natural silicon contained in drinking water in concentrations close to the maximum permissible concentration on the body of laboratory animals. Materials and methods. Drinking waters containing natural Si at MPC levels in water were studied, their effect was assessed in a three-month experiment on 80 white outbred male rats. Observations were made of the general condition, appearance of the animals, body weight dynamics, water consumption. The morphological composition of whole blood was studied. Biochemical indices of the condition of internal organs, including the liver, were determined in serum samples (the ALT and AST activity, the level of total protein and albumin), pancreas (α-amylase activity), kidneys (creatinine content), as well as lactate dehydrogenase activity as a nonspecific indicator of tissue damage. Results. In animals received 17±3.4 mg/L silicon with drinking water at a hardness of 2.25±0.47 mg-eq/L, a significant decrease in ALT activity was found on the 30th and 90th days of the experiment, AST – on 90th day, increase in the content of total protein and albumin in the serum on the 30th day of the experiment. Drinking water with silicon concentrations of 20.5±4.1 mg/L and hardness 3.55±0.76 mg-eq/L decreased ALT activity and serum creatinine concentration on the 30th day and increased amylase activity on the 90th day of the experiment. The animals had the highest water consumption and intake of silicon from drinking water over the first month of the experiment. Limitations. Limitations of the study are related to the short duration of observation and the small number of points for determining biochemical parameters over time. Conclusion. Consumption of drinking water containing natural silicon for 90 days led to changes in biochemical indices, largely indicating the positive effect of the element in concentrations of 17±3.4 mg/L and 20.5±4.1 mg/L on the body of laboratory animals.
引言。关于天然硅(Si)的生物效应及其在饮用水中的卫生管理问题,在科学文献和为居民用水提供有利条件的实践中仍存在争议。为此,我们对饮用水中接近最高允许浓度的天然硅对实验动物身体的影响进行了评估。材料和方法对饮用水中天然硅的最高允许浓度进行了研究,并对 80 只白色近交系雄性大鼠进行了为期三个月的实验,以评估其影响。实验中观察了动物的一般状况、外观、体重动态和耗水量。研究了全血的形态成分。在血清样本(谷丙转氨酶和谷草转氨酶活性、总蛋白和白蛋白水平)、胰腺(α-淀粉酶活性)、肾脏(肌酐含量)以及作为组织损伤非特异性指标的乳酸脱氢酶活性中测定了包括肝脏在内的内脏器官状况的生化指标。结果在饮用硬度为 2.25±0.47 毫克-当量/升、含 17±3.4 毫克/升硅的饮用水的动物中,实验第 30 天和第 90 天发现谷丙转氨酶活性显著下降,第 90 天发现谷草转氨酶活性显著下降,实验第 30 天发现血清中总蛋白和白蛋白含量显著增加。硅浓度为 20.5±4.1 mg/L、硬度为 3.55±0.76 mg-eq/L 的饮用水在实验第 30 天降低了谷丙转氨酶活性和血清肌酐浓度,在实验第 90 天提高了淀粉酶活性。在实验的第一个月中,动物的饮水量和饮用水中硅的摄入量最高。局限性本研究的局限性在于观察时间较短,且测定生化指标的点数较少。结论。连续 90 天饮用含天然硅的饮用水会导致生化指标发生变化,这在很大程度上表明浓度为 17±3.4 毫克/升和 20.5±4.1 毫克/升的硅元素对实验动物的身体有积极影响。
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引用次数: 0
Monitoring of Klebsiella pneumoniae as one of the criteria of microecological characterization of a water body 监测肺炎克雷伯氏菌是水体微生态特征描述的标准之一
Pub Date : 2024-04-10 DOI: 10.47470/0016-9900-2024-103-3-234-241
AS Kalyuzhin, Alexandra L. Bayrakova, Marina A. Morozova, N. I. Latyshevskaya, Tatyana A. Ruzhentsova
Introduction. Representatives of the family Enterobacteriaceae are ubiquitous in the environment, causing severe, including opportunistic diseases in immunocompromised individuals. The occurrence of antibiotic-sensitive bacteria of the Klebsiella genus within the recreational zone of a water body is potent of posing an epidemiologic danger to the inhabitants of the settlement. Materials and Methods. Water samples from the surface aquifers of the Don and Temernik rivers of Rostov-on-Don served as the material for the study. The sensitivity of isolates of Kl. pneumoniae isolates to fourteen antibacterial preparations were investigated by disk-diffusion method in accordance with the requirements of MUK 4.2.1980-04 and EUCAST v. 13.0 (2023). 13.0 (2023). Carbapenemase genes VIM, IMP, NDM, KPC, OXA-48, NDM were determined using commercial diagnostic kits AmpliSense MDR MBL-FL, AmpliSense MDR KPC/OXA-48-FL, AmpliSense MDR Ab-OXA-FL. Results. In 2022, 247 isolates of Klebsiella pneumoniae were isolated in 14 biotopes of water bodies of Rostov-on-Don. Biotopes of epidemiological significance were identified with the presence of antibiotic resistance genes in 28 isolates isolated above and below the sewage discharge site (sampling point #1 and #5) and strains isolated from the mouth of the Temernik River (sampling point #14). Phenotype of multidrug-resistant (MDR) in point No. 1 possessed 22%, point No. 5 – 26.9%, point No. 14 – 26%; phenotype of extreme drug resistance (XDR) in point No. 1 possessed 11.1 %, point No. 5 – 15.3%, point No. 14 – 13%; phenotype of pan-drug-resistant (PDR) in point No. 1 did not possess, point No. 5 – 3.8%, point No. 14 – 4.3%. Limitations. A limitation of the study is related to the location of water sampling from the river. Don and R. Temernik on the territory of Rostov-on-Don, covering from March to November 2022. In this article, we limited ourselves to sanitary-bacteriological and molecular genetic analysis. Conclusion. The detection of PDR, XDR, and MDR antibiotic-resistant phenotypes of Klebsiella pneumoniae, as well as the detection of resistance genes, indicates to an increased risk of water-associated acute intestinal infections, especially in immunosuppressed individuals.
导言。肠杆菌科细菌在环境中无处不在,可引起严重疾病,包括免疫力低下者的机会性疾病。在水体的休闲区内出现对抗生素敏感的克雷伯氏菌属细菌,可能会对居住区的居民造成流行病学上的威胁。材料与方法。研究材料取自顿河畔罗斯托夫顿河和捷梅尔尼克河地表含水层的水样。根据 MUK 4.2.1980-04 和 EUCAST v. 13.0 (2023)的要求,采用盘扩散法研究了肺炎克雷伯菌分离株对 14 种抗菌制剂的敏感性。13.0 (2023).使用商业诊断试剂盒 AmpliSense MDR MBL-FL、AmpliSense MDR KPC/OXA-48-FL、AmpliSense MDR Ab-OXA-FL 测定碳青霉烯酶基因 VIM、IMP、NDM、KPC、OXA-48、NDM。结果。2022 年,在顿河畔罗斯托夫 14 个水体生物群落中分离出 247 株肺炎克雷伯氏菌。在污水排放点上下(1 号和 5 号采样点)分离出的 28 个分离菌株以及在捷梅尼克河河口(14 号采样点)分离出的菌株中,发现了抗生素耐药基因,从而确定了具有流行病学意义的生物群落。1 号采样点的多重耐药性 (MDR) 表型占 22%,5 号采样点占 26.9%,14 号采样点占 26%;1 号采样点的极端耐药性 (XDR) 表型占 11.1%,5 号采样点占 15.3%,14 号采样点占 13%;1 号采样点的泛耐药性 (PDR) 表型不存在,5 号采样点占 3.8%,14 号采样点占 4.3%。局限性。这项研究的局限性与河水取样的地点有关。在顿河畔罗斯托夫境内的顿河和捷梅尼克河取样的时间为 2022 年 3 月至 11 月。本文仅限于卫生细菌学和分子遗传学分析。结论肺炎克雷伯氏菌耐 PDR、XDR 和 MDR 抗生素表型的检测以及耐药基因的检测表明,与水有关的急性肠道感染的风险增加,尤其是在免疫抑制人群中。
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引用次数: 0
LED light sources with a sun-like emission spectrum for children’s institutions 用于儿童机构的具有类似太阳发射光谱的 LED 光源
Pub Date : 2024-04-10 DOI: 10.47470/0016-9900-2024-103-3-273-282
Valery A. Kaptsov, V. N. Deinego
The article looks more like a scientific-theoretical than an experimental one, so it is proposed to remove the IMRAD structure, especially since it is given only in the summary, but not in the article itself. “In Russia, under the national project “Education”, a large-scale program for the construction of schools is underway. About 700 schools have already been built, and if in general for all programs, this is 900 schools..... Many schools have swimming pools, modern canteens...” noted the head of the relevant ministry at a meeting with the President of the Russian Federation Vladimir Putin at the beginning of 2023. In total, about 750 billion rubles were allocated to finance the program for the construction of new schools. (it includes 454 billion from the federal budget). In total, it is planned to build 1,300 educational institutions, which will have more than 1 million places. In addition to the construction of new schools, the plan provides for the implementation of a program of capital repairs and technical renovation of existing general education institutions by the end of 2026: it will include 7,300 buildings. The pace of capital renovations has also accelerated in 2022–2023: three thousand buildings will be renovated, mainly in rural areas. By 2024, all 27 thousand rural schools, according to modern requirements, will be equipped with modern equipment. In modern schools, it is planned to equip computer classes with modern computing equipment, and energy saving plans provide for the widespread use of LED lighting. The reasons for the negative effects of the light spectrum of LED lighting and personal computer monitors on the health of children and adolescents, in particular the increase in myopia, have not yet been sufficiently studied. Analytical, sociological, and statistical methods were used. The relationship between physiological and behavioural factors that may lead to decreased vision is described. The restructuring of the work of the visual analyzer, associated with the selection of information in accordance with the models proposed in the social environment has been suggested to contribute to the formation of myopia; with a decrease in one’s own search activity with increased myopia; with an increase in the functioning of internal information processing systems and a decrease in the systems of perception and implementation of actions. Limitations. The study was limited to the area of study of the subject of research, materials from the Scopus, Web of Science, MedLine, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RSCI databases and our own experiments. Conclusion. The spectral composition of artificial light and its intensity give rise to the prerequisites for the development of myopia or another functional-structural response in the variety of ganglion, amacrine cells, and receptors in the visual analyzer of multicellular animals. The narrow and incomplete spectrum of light from domestic LED lamps cannot b
这篇文章看起来更像是一篇科学理论文章,而不是一篇实验文章,因此建议删除 IMRAD 结构,特别是因为它只在摘要中给出,而不是在文章本身中。"在俄罗斯,根据国家 "教育 "项目,正在实施一项大规模的学校建设计划。目前已建成约 700 所学校,如果从所有计划的总体来看,则为 900 所.....。许多学校都有游泳池、现代化食堂...... "相关部委负责人在 2023 年初与俄罗斯联邦总统弗拉基米尔-普京会晤时指出。为资助新学校建设计划总共拨款约 7500 亿卢布。(其中包括来自联邦预算的 4 540 亿卢布)。计划总共建设 1300 所教育机构,将提供 100 多万个学位。除新建学校外,该计划还规定在 2026 年底前对现有普通教育机构实施基本建设维修和技术改造计划:这将包括 7 300 栋建筑。2022-2023 年,基本建设翻新的步伐也加快了:将翻新 3 000 座建筑,主要是在农村地区。到 2024 年,所有 2.7 万所农村学校都将按照现代要求配备现代化设备。在现代化学校中,计划为计算机教室配备现代化的计算机设备,节能计划规定广泛使用 LED 照明。LED 照明和个人电脑显示器的光谱对儿童和青少年的健康产生负面影响,特别是近视度数增加的原因尚未得到充分研究。 研究采用了分析、社会学和统计学方法。描述了可能导致视力下降的生理和行为因素之间的关系。研究认为,视觉分析器工作的重组,与根据社会环境中提出的模式选择信息有关,有助于近视的形成;随着近视度数的增加,自身搜索活动减少;内部信息处理系统的功能增加,感知和行动执行系统减少。局限性。本研究仅限于研究对象的研究领域,材料来自 Scopus、Web of Science、MedLine、The Cochrane Library、EMBASE、Global Health、CyberLeninka、RSCI 数据库和我们自己的实验。结论人造光的光谱成分及其强度为多细胞动物视觉分析器中的各种神经节细胞、肾上腺素细胞和感受器产生近视或其他功能结构反应提供了先决条件。家用 LED 灯的光谱狭窄且不完整,不能很好地预防儿童近视。考虑到人类视觉分析器中光蛋白的多样性,我们利用 LED 和荧光粉开发并制造了一种人工光源,其光谱考虑了人眼中光蛋白的光谱光敏性,并尽可能接近太阳光光谱,相关色温约为 4000 和 3000 K。这种光源的光谱在 "2023 年埃里斯曼读书会"(Erisman Readings 2023)上进行了演示。为了阐明儿童近视发展的生物机制,需要在新的科学方向--进化卫生学--的框架内做出更多努力。这将有可能确定人工光源的光谱组成(410-450 纳米区域的发射、480 纳米区域的下降和 380 纳米区域的缺失)的微小变化是如何影响人类和整个生物世界基因水平的灾难性(混乱)变化的。
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引用次数: 0
Evaluation of the Epstein–Barr virus occurrence at the present stage (literature review) 现阶段对 Epstein-Barr 病毒发生情况的评估(文献综述)
Pub Date : 2024-04-10 DOI: 10.47470/0016-9900-2024-103-3-242-245
Elena N. Sizova, N. S. Fedorovskaya
The purpose of this article is to review and analyze the foreign and domestic scientific papers to assess the Epstein-Barr virus (EBV) occurrence in the human population. A search of Russian and foreign publications in the PubMed and E-library databases was conducted. The high ecological and medical significance of EBV-infection is due to its global spread in the human population, lifelong persistence of EBV in the human body. Evidence has been collected EBV to be involved in the development of various somatic pathologies, such as rheumatic diseases and vasculitis, chronic kidney disease, cardiovascular pathologies, pathologies of the gastrointestinal tract, T- and B-cell lymphomas in children and adults, nasopharyngeal carcinoma. These diseases are the main causes of population disability and premature death not only in Russia, but also in the World. The deterioration of the ecological and epidemic situation for EBV-infection is associated with the other infectants spread that change the population immunological status. These include the human immunodeficiency virus, hepatitis B and C viruses, SARS-CoV-2, Mycobacterium tuberculosis. With the simultaneous persistence of these infectants, their synergistic or antagonistic effect on the human body occurs. In the modern World, the COVID-19 and the EBV-infection are simultaneously developing. It is difficult to say which infection is more significant in terms of medical, social. and economic losses of the human population. The EBV has been undeservedly given little attention. It is necessary to optimize preventive measures and epidemic surveillance for EBV-infection.
本文旨在对国内外科学论文进行回顾和分析,以评估爱泼斯坦-巴氏病毒(EBV)在人类中的发生情况。本文在 PubMed 和电子图书馆数据库中对俄罗斯和国外的出版物进行了检索。EB 病毒感染在生态学和医学上具有重要意义,因为它在全球范围内传播,EB 病毒在人体内终生存在。已收集到的证据表明,EB 病毒与各种体质病变的发生有关,如风湿病和血管炎、慢性肾病、心血管病变、胃肠道病变、儿童和成人的 T 细胞和 B 细胞淋巴瘤、鼻咽癌等。这些疾病不仅是造成俄罗斯人口残疾和过早死亡的主要原因,也是造成世界人口残疾和过早死亡的主要原因。EB 病毒感染的生态和流行状况的恶化与改变人口免疫状况的其他感染者的传播有关。其中包括人类免疫缺陷病毒、乙型和丙型肝炎病毒、SARS-CoV-2、结核分枝杆菌。随着这些传染源的同时存在,它们会对人体产生协同或拮抗作用。在当今世界,COVID-19 和 EB 病毒感染同时发展。很难说哪种感染对人类造成的医疗、社会和经济损失更大。EB 病毒却没有得到应有的重视。有必要优化 EBV 感染的预防措施和流行病监测。
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引用次数: 0
Assessment of the epidemiological health risk of foundry contamination of small town soils 小城镇土壤铸造污染的流行病学健康风险评估
Pub Date : 2024-03-15 DOI: 10.47470/0016-9900-2024-103-2-172-181
T. Trifonova, A. Martsev, O. Selivanov, Yuri N. Kurbatov, Alexey O. Rostunov
Introduction. The paper presents the results of the assessment of the risk to public health and the level of soil contamination with heavy metals and arsenic in a small town with a foundry. Materials and methods. The objects of the study are the morbidity of the population of the Melenkovsky district of the Vladimir region and the soil cover of the city of Melenki. The assessment of the probable risk of morbidity is based on the determination of epidemiological risk indicators, the obtained values of which were converted into values normalized by the marginal error of the background level (Δ). Soil samples were taken in the zone of industrial enterprises, highways, residential private sector, landscape, and recreational areas. The soil cover was examined by X-ray fluorescence method for the evaluationof the content of heavy metals and arsenic. Results. The study conducted to assess the probable risk allowed establishing in the Melenkovsky district, relative to the background regional values, children to have a very high risk for nine classes of diseases, adults to have a very high risk for 6 classes of diseases. There has been established the contamination of the soil of the city of Melenka with heavy metals and arsenic to be probably due to the specifics and duration of operation of the oldest enterprise in the city ‒ the foundry and mechanical plant. In the central part of the city, there have been identified local areas posing high health risks, which determines the need to manage permanent environmental and hygienic monitoring here. The greatest danger to public health is arsenic, whose concentrations in almost all sampling points exceed sanitary and hygienic standards. The limitations of the study are related to one-time sampling and a small number of reference sites, which limits the possibilities of a broader interpretation of the data obtained. Conclusion. It has been established that a city enterprise operating for a long time, due to soil contamination of the adjacent territory, can bear high risks to public health even during prolonged downtime or termination of its main activity. The chemical contamination of the soil in the territory adjacent to the foundry and mechanical plant, which is extremely dangerous in terms of the total indicator, requires special environmental measures to remove and further neutralize chemical elements. To reduce soil pollution in the city, there are required modernization of industrial enterprises and the creation of expanded sanitary protection zones around them.
导言。本文介绍了对一个拥有铸造厂的小镇的公众健康风险和土壤重金属及砷污染水平的评估结果。材料和方法。研究对象是弗拉基米尔地区梅连科夫斯基区居民的发病率和梅连基市的土壤覆盖率。对可能的发病风险的评估基于流行病学风险指标的确定,所获得的指标值通过本底水平的边际误差 (Δ) 转换为正常值。土壤样本取自工业企业、高速公路、私人住宅区、景观和休闲区。采用 X 射线荧光法对土壤覆盖层进行检测,以评估重金属和砷的含量。研究结果为评估可能存在的风险而进行的研究表明,与地区背景值相比,梅连科夫斯基区儿童患 9 类疾病的风险非常高,成人患 6 类疾病的风险非常高。梅连卡市土壤重金属和砷污染已经得到证实,这可能与该市最古老的企业--铸造厂和机械厂 的具体情况和运营时间有关。在该市的中心地区,已经确定了一些对健康构成高风险的局部区域,这就决定了有必要对这里进行长期的环境和卫生监测。对公众健康危害最大的是砷,几乎所有采样点的砷浓度都超过了卫生标准。这项研究的局限性在于一次性采样和参考点数量较少,这限制了对所获数据进行更广泛解释的可能性。结论已经证实,由于邻近地区的土壤污染,长期运营的城市企业即使在长期停工或主要活动终止时,也会对公众健康造成高风险。铸造厂和机械厂邻近地区的土壤受到化学污染,就总指标而言是极其危险的,因此需要采取特殊的环保措施来清除和进一步中和化学元素。为减少城市土壤污染,需要对工业企业进行现代化改造,并在其周围建立扩大的卫生保护区。
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引用次数: 0
Neurovegetative responses in medical staff of maternity institutions 产科机构医务人员的神经机能反应
Pub Date : 2024-03-15 DOI: 10.47470/0016-9900-2024-103-2-136-140
E. P. Kotelevets, V. A. Kiryushin
Introduction. Factors of the labour process influence on the adaptive capabilities of the cardiovascular and autonomic nervous systems in workers. Purpose of the study. The study of the possible relationship between the indicator of adaptation of regulatory systems of heart rate variability and the intensity of the labour process in doctors and nurses in obstetric institutions of the second and third levels. Materials and methods. The intensity of the labour process was determined by the method of timing. To calculate the adaptation index in the trend in the work shift, the hardware-software complex “Varicard 2.51” was used. Two hundred twenty eight doctors and nurses were examined. The studies were carried out on the basis of obstetric institutions of the second and third levels of the cities of the Central Federal District: Ryazan, Kolomna, Lipetsk, Smolensk. Statistical processing of research results was carried out using standard methods (p<0.05). Results. The studies were carried out on the basis of obstetric institutions of the second and third level in some cities of the Central Federal District: Ryazan, Kolomna, Lipetsk, Smolensk. The data obtained in the study of the peculiarities of the regulatory potential in medical workers of various occupational groups made it possible to get an idea of ​​the influence of the factors of the labour process on the adaptive resources, assessed by the indicators of the temporal analysis. The data obtained made it possible to identify a direct correlation between the intensity of the labour process and the developing neurovegetative responses of the organism, which were reflected in the adaptation index in ccupational groups of obstetrician-gynecologists, nurse anesthetists, and midwives of perinatal centers. Limitations. The studies were carried out in small groups taking into account the trend in the work shift, which opens up the prospect of studying the issue in the age aspect in large groups. Conclusion. The results of the study can be used to develop evidence-based recommendations for the prevention of occupationally conditioned overstrain of the organism’s adaptive systems.
导言。劳动过程中的各种因素会影响工人心血管系统和自律神经系统的适应能力。研究目的研究二级和三级产科机构医生和护士心率变异调节系统适应性指标与分娩过程强度之间可能存在的关系。材料和方法产程强度通过计时法确定。为了计算工作班次趋势的适应指数,使用了硬件-软件复合软件 "Varicard 2.51"。228 名医生和护士接受了检查。研究是在中央联邦区各城市二级和三级产科机构的基础上进行的:梁赞、科洛姆纳、利佩茨克、斯摩棱斯克。研究结果的统计处理采用标准方法(P<0.05)。研究结果研究是在中央联邦区部分城市的二级和三级产科机构基础上进行的:梁赞、科洛姆纳、利佩茨克、斯摩棱斯克。通过对不同职业类别医务工作者调节潜能特点的研究获得的数据,可以了解劳动过程中各种因素对适应资源的影响,并通过时间分析指标进行评估。根据所获得的数据,可以确定分娩过程的强度与机体神经能量反应的发展之间存在直接关联,这反映在妇产科医生、麻醉护士和围产中心助产士等职业群体的适应指数中。局限性。考虑到工作轮班的趋势,研究是在小群体中进行的,这为在大群体中研究年龄方面的问题开辟了前景。结论。研究结果可用于制定以证据为基础的建议,以预防机体适应系统因职业条件而过度劳累。
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引用次数: 0
Lost years of life due to the mortality from diseases of the urinary system in the industrial region of Kazakhstan with air pollution 哈萨克斯坦工业区空气污染导致泌尿系统疾病死亡造成的寿命损失
Pub Date : 2024-03-15 DOI: 10.47470/0016-9900-2024-103-2-120-129
Shynar S. Bibitova, Zhuldyz Zh. Galiakparova, Mukhit A. Zhaksylyk, Irina V. Lopuha, Roza N. Oralova, Ainura K. Sandybayeva, Zhakhongir U. Khashimov, N. K. Dyussembaeva, D. K. Rybalkina, Yelena A. Drobchenko, Maxim A. Dyagilev, Valeria S. Kosach
Introduction. The relevance of the epidemiological problems of loss of years due to diseases of the kidney and urinary tract is due to the progressive gain in the number of patients in many regions and countries of the World. Purpose. Estimation of years of life lost due to the mortality from diseases of the urinary system (DUS) in the Pavlodar region, which is one of the industrial regions of Kazakhstan. Materials and methods. Medical-demographic (mortality rates) and medical-statistical (primary morbidity rates) data was obtained from the Department of Statistics of the Republican Center for Electronic Health Care of the Republic of Kazakhstan (RCEHC RK). The study period was eight years (from 2015 to 2022). The Years of Life Lost (YLL) indicator was calculated according to methodological recommendations. An assessment of the relationships between population health indicators for pathologies of the urinary system (US) with social factors (gross domestic product per capita – GDP), and environmental indicators (ecological and meteorological) as possible causes of adverse events in human health was carried out using correlation and time series analysis. Results. In the structure of years of life lost due to the mortality from US organs, chronic renal failure (CRF, 55.96–65.85%) led. In the regional center of Pavlodar, there was a peak in years lost in mortality from DUS over 2021 (3.3‰ YLLs), during the COVID-19 pandemic. According to the average annual losses by age groups, in the Pavlodar region, the maximum losses were detected in the elderly (10.5‰ YLLs) and senile (15.8‰ YLLs) age. An excess of the maximum one-time concentrations of pollutants in the atmospheric air above the MPC level with the highest pollution level in 2018 was registered. Correlation analysis showed a high level of correlation between the loss of years of life because of the mortality due to US diseases with atmospheric air pollution in Ekibastuz (r  = 0.80), weak  – in Pavlodar region (r  = 0.28) and low – in Pavlodar (r = 0.13). Limitations. Of the environmental pollution factors, only atmospheric air pollution factors were studied, which does not reflect all the possible effects of environmental pollution on population health. In the group of reasons with code R, the conclusion “old age” prevailed, which may have led to an inaccurate analysis of the causes of death. Conclusion. Regional connections between the loss of years of life due to mortality due to US diseases with atmospheric air pollution and temperature in the winter season, as well as newly identified morbidity with atmospheric air pollution, have been identified.
导言。肾脏和泌尿系统疾病造成的寿命损失的流行病学问题之所以具有现实意义,是因为世界上许多地区和国家的患者人数在不断增加。目的估算哈萨克斯坦工业重镇巴甫洛达尔州因泌尿系统疾病(DUS)死亡造成的寿命损失。材料和方法医学人口学(死亡率)和医学统计(主要发病率)数据来自哈萨克斯坦共和国电子医疗保健中心(RCEHC RK)统计部。研究期限为八年(2015 年至 2022 年)。生命损失年数(YLL)指标根据方法建议进行计算。利用相关性和时间序列分析,评估了泌尿系统病变(US)的人口健康指标与社会因素(人均国内生产总值--GDP)和环境指标(生态和气象)之间的关系,这些因素可能是导致人类健康不良事件的原因。研究结果在因美国器官死亡而损失的生命年数结构中,慢性肾功能衰竭(CRF,55.96-65.85%)占首位。在巴甫洛达尔地区中心,在 COVID-19 大流行期间,因 DUS 死亡造成的寿命损失在 2021 年达到峰值(3.3‰)。根据各年龄组的年平均损失情况,在巴甫洛达尔地区,老年人(10.5‰ YLLs)和老年人(15.8‰ YLLs)的损失最大。大气中污染物的最大一次性浓度超过了 2018 年污染水平最高的 MPC 水平。相关性分析表明,在埃基巴斯图兹,因美国疾病导致的死亡年数损失与大气空气污染之间的相关性较高(r = 0.80),在巴甫洛达尔地区相关性较弱(r = 0.28),在巴甫洛达尔地区相关性较低(r = 0.13)。局限性。在环境污染因素中,只研究了大气空气污染因素,这并不能反映环境污染对居民健康的所有可能影响。在代码为 "R "的原因组中,"年老 "的结论占主导地位,这可能导致对死亡原因的分析不准确。结论现已查明,美国因大气空气污染和冬季气温引起的疾病导致的死亡所造成的寿命损失与新发现的大气空气污染导致的发病率之间存在区域联系。
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引用次数: 0
Induction of apoptosis at the molecular genetic level exposed to lead oxide nanoparticles in a chronic animal experiment 在一项慢性动物实验中,暴露于氧化铅纳米粒子在分子基因水平上诱导细胞凋亡
Pub Date : 2024-03-15 DOI: 10.47470/0016-9900-2024-103-2-152-157
I.A. Bereza, D. Shaikhova, A. M. Amromina, Y. Ryabova, I. Minigalieva, Marina Р. Sutunkova
Introduction. Workers of industrial enterprises and the population living nearby are at risk of lead poisoning. Lead exposure can lead to irreversible negative consequences for the body, including hepatic and renal dysfunction, hematopoietic damage, cognitive dysfunction, and impairment of the genetic apparatus of the human cell. In this regard, it is necessary to study characteristics of the toxic effect of lead oxide nanoparticles (PbO NPs) to determine their health effects and minimize related disorders and diseases. The purpose of the study was to determine the level of expression of the BAX, BCL-2, P53, GSTM1, GSTP1, and SOD2 genes in various organs of laboratory rats following the exposure to lead oxide nanoparticles. Materials and methods. Twenty mature female albino Wistar rats were used in a four month experiment with chronic inhalation exposure to PbO NPs, 10 animals per group (exposure and control). The mean concentration of PbO NPs in the inhaled air was 0.215 mg/m3. At the end of the exposure period, organ fragments from the decapitated animals were fixed in liquid nitrogen and subsequently stored in a freezer at –80 °C. Total RNA was isolated from tissues using the ExtractRNA reagent. The expression level was determined by quantitative reverse transcription real-time PCR. Results. The BAX expression in the liver of rats exposed to PbO NPs for 4 months was by 2.2 times higher than in the control group (p=0.009). We observed a trend towards an increase in the BAX/BCL-2 ratio in hepatocytes indicating apoptotic processes. The P53 expression level was by 1.4 times higher in the olfactory bulb of the exposed rats (p=0.025) when compared to the controls. No changes were found in the expression levels of antioxidant genes GSTM1, GSTP1, and SOD2. Limitations. The study was conducted using female Wistar rats with no potential sex differences taken into account. Conclusion. Chronic inhalation exposure to PbO NPs induces apoptosis in rat liver through the BAX/BCL-2 pathway and rat brain through the regulation of P53.
导言。工业企业的工人和附近的居民都有铅中毒的危险。接触铅会对人体造成不可逆的负面影响,包括肝肾功能障碍、造血功能损伤、认知功能障碍和人体细胞遗传装置受损。因此,有必要研究氧化铅纳米粒子(PbO NPs)的毒性效应特征,以确定其对健康的影响,并尽量减少相关的紊乱和疾病。本研究的目的是测定暴露于纳米氧化铅颗粒后实验鼠各器官中 BAX、BCL-2、P53、GSTM1、GSTP1 和 SOD2 基因的表达水平。材料与方法20 只成熟的雌性白化 Wistar 大鼠参加了为期 4 个月的慢性吸入氧化铅纳米粒子暴露实验,每组 10 只(暴露组和对照组)。吸入空气中的氧化铅氮氧化物平均浓度为 0.215 毫克/立方米。暴露期结束后,将斩首动物的器官碎片固定在液氮中,然后储存在-80 °C的冰箱中。使用 ExtractRNA 试剂从组织中分离出总 RNA。通过逆转录实时定量 PCR 检测表达水平。结果暴露于氧化铅氮氧化物 4 个月的大鼠肝脏中 BAX 的表达量是对照组的 2.2 倍(p=0.009)。我们观察到肝细胞中的 BAX/BCL-2 比值呈上升趋势,这表明存在凋亡过程。与对照组相比,暴露大鼠嗅球中的 P53 表达水平高出 1.4 倍(p=0.025)。抗氧化基因 GSTM1、GSTP1 和 SOD2 的表达水平没有变化。局限性。本研究使用的是雌性 Wistar 大鼠,没有考虑潜在的性别差异。结论慢性吸入暴露于氧化铅氮氧化物会通过 BAX/BCL-2 途径诱导大鼠肝脏凋亡,通过 P53 调节诱导大鼠大脑凋亡。
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Hygiene and sanitation
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