Pub Date : 2023-12-01DOI: 10.32402/dovkil2023.04.004
O. Yavorovsky, O.M. Naumenko, Y. Skaletskyi, R. Brukhno, M. Rygan, O.M. Ivanko, P.M. Mykhaylenko, T.O. Zinchenko, N.V. Bankovska
The aim of the study. To evaluate the safety culture in domestic health care using a mixed approach, that is, using a questionnaire survey, document analysis, as well as an analysis of the state of safety of patients and medical personnel. Materials and methods. The evaluation of safety culture in Ukrainian healthcare has been carried out based on the methodology of the IAEA (International Atomic Energy Agency), specifically employing a triangulation approach involving questionnaire surveys, document analysis, as well as an analysis of patient and medical personnel safety conditions. Our analysis and assessment of the regulatory framework for safety provision in the hospital environment from 1994 to 2020, as well as the safety status of patients from 2003 to 2020 and medical personnel from 2002 to 2018, formed the basis of the material used in this study. Additionally, the evaluation of safety culture was conducted through a questionnaire survey involving 199 healthcare professionals from various healthcare facilities. Research results. The study revealed that safety culture in domestic healthcare facilities is at an early stage of formation and requires systematic improvement. Developing a more comprehensive methodology for assessing safety culture in the medical field is an important and promising direction for future research. The results of our study confirmed the effectiveness of employing a triangulation approach to assess the level of safety culture excellence in healthcare facilities. Conclusions. Strengthening the identified weaknesses in safety culture within the domestic medical industry can become the goal and foundation of a future strategy to create a safe hospital environment based on improving and enhancing safety culture.
{"title":"Safety culture assessment in national healthcare: a triangulation approach","authors":"O. Yavorovsky, O.M. Naumenko, Y. Skaletskyi, R. Brukhno, M. Rygan, O.M. Ivanko, P.M. Mykhaylenko, T.O. Zinchenko, N.V. Bankovska","doi":"10.32402/dovkil2023.04.004","DOIUrl":"https://doi.org/10.32402/dovkil2023.04.004","url":null,"abstract":"The aim of the study. To evaluate the safety culture in domestic health care using a mixed approach, that is, using a questionnaire survey, document analysis, as well as an analysis of the state of safety of patients and medical personnel. Materials and methods. The evaluation of safety culture in Ukrainian healthcare has been carried out based on the methodology of the IAEA (International Atomic Energy Agency), specifically employing a triangulation approach involving questionnaire surveys, document analysis, as well as an analysis of patient and medical personnel safety conditions. Our analysis and assessment of the regulatory framework for safety provision in the hospital environment from 1994 to 2020, as well as the safety status of patients from 2003 to 2020 and medical personnel from 2002 to 2018, formed the basis of the material used in this study. Additionally, the evaluation of safety culture was conducted through a questionnaire survey involving 199 healthcare professionals from various healthcare facilities. Research results. The study revealed that safety culture in domestic healthcare facilities is at an early stage of formation and requires systematic improvement. Developing a more comprehensive methodology for assessing safety culture in the medical field is an important and promising direction for future research. The results of our study confirmed the effectiveness of employing a triangulation approach to assess the level of safety culture excellence in healthcare facilities. Conclusions. Strengthening the identified weaknesses in safety culture within the domestic medical industry can become the goal and foundation of a future strategy to create a safe hospital environment based on improving and enhancing safety culture.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022834","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}
Pub Date : 2023-12-01DOI: 10.32402/dovkil2023.04.029
V. І. Zenkina
Introduction. The working conditions of medical personnel during emergencies significantly differ from those in regular circumstances. During the COVID-19 pandemic, the intensity of biological and psychophysiological factors in the working environment increased substantially, leading to the emergence of additional harmful and dangerous factors, resulting in disruptions to the living and working conditions of the staff. Since the regular work routine of healthcare facilities changes in such situations, there is a pressing need for clear action plans and guidelines to provide quality medical care and safeguard the lives and health of medical workers. The aim of this study is to examine the experience of medical facilities during the COVID-19 pandemic, investigate the impact of working conditions during quarantine and the resolution of dangerous situations, substantiate safety measures, and establish guidelines for the behavior of medical personnel and patients during other potential emergencies. Materials and Methods. The research was conducted using questionnaire, survey, hygienic, bibliographic and statistical methods. Results. Peculiarities of the labor activity of medical workers in health care facilities during the COVID-19 pandemic, which was recognized as a particularly dangerous disease, and the working conditions of personnel in these conditions were studied. An analysis of the perception of medical workers during the pandemic and the evaluation of working conditions were conducted. The main negative effects on the working conditions of healthcare staff compared to the pre-pandemic period were identified: increased workload and demands on workers, growing emotional stress, insufficient organizational support, financial, and psychological assistance. Additionally, positive influences that eased the tasks of the medical workers during the COVID-19 pandemic and contributed to stabilizing the situation and personal and professional development were highlighted: competence, cooperation, and team cohesion (teamwork). Respondents stated that the acquired experience would prevent them from making numerous mistakes and shortcomings in their work in the future, and they are ready to work under epidemic conditions and other emergencies. To ensure the safety of medical personnel, it is necessary to implement comprehensive measures to prevent occupational diseases, care for human resources, and develop reward and motivation systems. To improve the quality of medical services during emergencies, reduce risks among patients, and safeguard the lives and health of medical workers, mandatory targeted training programs and educational materials are required for preparing healthcare personnel for work in different emergency situations. Conclusions. The working conditions of medical personnel during the fight against the coronavirus infection are hazardous, posing threats to their lives and carrying a high risk of acute occupational diseases and severe forms o
{"title":"Priority problems in occupational hygiene and safety of medical workers in emergency situations (from the experience of overcoming the Covid-19 pandemic)","authors":"V. І. Zenkina","doi":"10.32402/dovkil2023.04.029","DOIUrl":"https://doi.org/10.32402/dovkil2023.04.029","url":null,"abstract":"Introduction. The working conditions of medical personnel during emergencies significantly differ from those in regular circumstances. During the COVID-19 pandemic, the intensity of biological and psychophysiological factors in the working environment increased substantially, leading to the emergence of additional harmful and dangerous factors, resulting in disruptions to the living and working conditions of the staff. Since the regular work routine of healthcare facilities changes in such situations, there is a pressing need for clear action plans and guidelines to provide quality medical care and safeguard the lives and health of medical workers. The aim of this study is to examine the experience of medical facilities during the COVID-19 pandemic, investigate the impact of working conditions during quarantine and the resolution of dangerous situations, substantiate safety measures, and establish guidelines for the behavior of medical personnel and patients during other potential emergencies. Materials and Methods. The research was conducted using questionnaire, survey, hygienic, bibliographic and statistical methods. Results. Peculiarities of the labor activity of medical workers in health care facilities during the COVID-19 pandemic, which was recognized as a particularly dangerous disease, and the working conditions of personnel in these conditions were studied. An analysis of the perception of medical workers during the pandemic and the evaluation of working conditions were conducted. The main negative effects on the working conditions of healthcare staff compared to the pre-pandemic period were identified: increased workload and demands on workers, growing emotional stress, insufficient organizational support, financial, and psychological assistance. Additionally, positive influences that eased the tasks of the medical workers during the COVID-19 pandemic and contributed to stabilizing the situation and personal and professional development were highlighted: competence, cooperation, and team cohesion (teamwork). Respondents stated that the acquired experience would prevent them from making numerous mistakes and shortcomings in their work in the future, and they are ready to work under epidemic conditions and other emergencies. To ensure the safety of medical personnel, it is necessary to implement comprehensive measures to prevent occupational diseases, care for human resources, and develop reward and motivation systems. To improve the quality of medical services during emergencies, reduce risks among patients, and safeguard the lives and health of medical workers, mandatory targeted training programs and educational materials are required for preparing healthcare personnel for work in different emergency situations. Conclusions. The working conditions of medical personnel during the fight against the coronavirus infection are hazardous, posing threats to their lives and carrying a high risk of acute occupational diseases and severe forms o","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993035","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}
Pub Date : 2023-12-01DOI: 10.32402/dovkil2023.04.037
M. Hulich, O. Petrenko, M. Antomonov, D.V. Fedorova, H. Vepsäläinen, M. Erkkola
The purpose of the study is to determine eating disorders based on the results of a survey of parents and an analysis of the perception of the behavior of children aged 5-17 in conditions of stress caused by war. Research materials and methods. A large-scale cross-sectional survey of parents of school-age children who were in Ukraine at the time of the start of the war (February 24, 2022) was conducted. A total of 5,165 parents took part in the survey. The survey concerned eating disorders and included information about the gender, age, place and conditions of the child's stay, financial support and the family's access to food, general mental manifestations of stress, eating disorders that arose as a result of military operations, changes in the child's physique, etc. The work uses a specially developed questionnaire based on standardized questionnaires about children's stress and eating disorders. This stage of the work determines the peculiarities of the child's whereabouts in relation to military events (staying in occupied territories, in close proximity to hostilities, in peaceful territory, moving within Ukraine or going abroad) and their impact on the eating behavior of school-aged children. The processing of the results included descriptive statistics, as well as the analysis of the relationships of the variables using conjugation tables by calculating the Spearman's rank coefficient and Pearson's chi-square for qualitative variables. The results. It was established that the absence or decrease of appetite, rapid satiety, change in attitude to food are general stress disorders inherent in the entire studied cohort of children. Statistical analysis revealed that the frequency and duration of eating disorders, appetite, delayed satiety, capriciousness or lack of understanding, somato-vegetative manifestations, the formation of disgust or passion for certain food products in school-age children are related to the intensity and nature of the experienced military stress. Being in occupied territories or near hostilities and subsequent displacement has the greatest impact on the frequency and duration of eating disorders. The formation of long-term eating disorders in all groups is actually a deepening of unhealthy eating habits of schoolchildren, which were demonstrated in previous studies. It is expected that these violations will lead to an increase in the frequency of chronic non-communicable diseases in later life. Conclusions. The obtained results are important for the further interpretation of the results in the framework of the study of children's eating disorders under the conditions of stress caused by the war in Ukraine and providing recommendations for the correction of the detected violations. The research has an important social significance for Ukraine, as it is aimed at solving the psychological and medical consequences of the war.
{"title":"Eating disorders in children as a consequence of stress caused by war: general results of the study","authors":"M. Hulich, O. Petrenko, M. Antomonov, D.V. Fedorova, H. Vepsäläinen, M. Erkkola","doi":"10.32402/dovkil2023.04.037","DOIUrl":"https://doi.org/10.32402/dovkil2023.04.037","url":null,"abstract":"The purpose of the study is to determine eating disorders based on the results of a survey of parents and an analysis of the perception of the behavior of children aged 5-17 in conditions of stress caused by war. Research materials and methods. A large-scale cross-sectional survey of parents of school-age children who were in Ukraine at the time of the start of the war (February 24, 2022) was conducted. A total of 5,165 parents took part in the survey. The survey concerned eating disorders and included information about the gender, age, place and conditions of the child's stay, financial support and the family's access to food, general mental manifestations of stress, eating disorders that arose as a result of military operations, changes in the child's physique, etc. The work uses a specially developed questionnaire based on standardized questionnaires about children's stress and eating disorders. This stage of the work determines the peculiarities of the child's whereabouts in relation to military events (staying in occupied territories, in close proximity to hostilities, in peaceful territory, moving within Ukraine or going abroad) and their impact on the eating behavior of school-aged children. The processing of the results included descriptive statistics, as well as the analysis of the relationships of the variables using conjugation tables by calculating the Spearman's rank coefficient and Pearson's chi-square for qualitative variables. The results. It was established that the absence or decrease of appetite, rapid satiety, change in attitude to food are general stress disorders inherent in the entire studied cohort of children. Statistical analysis revealed that the frequency and duration of eating disorders, appetite, delayed satiety, capriciousness or lack of understanding, somato-vegetative manifestations, the formation of disgust or passion for certain food products in school-age children are related to the intensity and nature of the experienced military stress. Being in occupied territories or near hostilities and subsequent displacement has the greatest impact on the frequency and duration of eating disorders. The formation of long-term eating disorders in all groups is actually a deepening of unhealthy eating habits of schoolchildren, which were demonstrated in previous studies. It is expected that these violations will lead to an increase in the frequency of chronic non-communicable diseases in later life. Conclusions. The obtained results are important for the further interpretation of the results in the framework of the study of children's eating disorders under the conditions of stress caused by the war in Ukraine and providing recommendations for the correction of the detected violations. The research has an important social significance for Ukraine, as it is aimed at solving the psychological and medical consequences of the war.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993880","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}
Pub Date : 2023-12-01DOI: 10.32402/dovkil2023.04.060
Yu L Zabulonov, T. Melnychenko, V. Kadoshnikov, I. Pysanska, L.A. Odukhalets, O. Petrenko
Objective: The goal of the research is to synthesize existing approaches for water purification containing micro- and nanoplastics while also developing a new effective method for such purification to reduce the impact of micro- and nanoplastics on the environment and human health. Materials and Research Methods: The research subject included samples of wastewater from a printing facility, which among other pollutants, contained micro- and nanoplastics. Research methods applied include informational, IR spectroscopy, thermogravimetric analysis, and X-ray diffraction. Results: An analysis of the current state of micro- and nanoplastics removal from contaminated water was conducted. Existing approaches for water purification containing micro- and nanoplastics were summarized. The qualitative composition of nanoplastics was determined, including polyamides, polyimides, polyoxadiazole, and fluoroplastics. The application of thermal treatment allowed the identification of heat-resistant plastics like polyoxadiazole and fluoroplastics. Using either only sorption (with graphite-based sorbents) or only plasma chemical methods was found to be insufficiently effective. The activation mechanism of microplastic particles in the presence of humic acids adsorbed on smectites during high-voltage discharge was examined. A comprehensive plasma chemical method for the purification of contaminated water was developed, effectively removing micro- and nanoplastics from the aquatic environment. Conclusions: The current ecological situation regarding water pollution is highly unfavorable and characterized by an increasing contamination of micro- and nanoplastics combined with various toxic substances. Due to their significant adsorption properties, micro- and nanoplastics exacerbate the toxic effects on the natural environment and human health. The removal of micro- and nanoplastics and associated pollutants is an urgent contemporary issue. The obtained results have led to the development of a comprehensive plasma chemical method for purifying contaminated water from micro- and nanoplastics. This method involves plasma chemical treatment of the contaminated liquid, to which a water dispersion of modified humic substances of high-dispersion smectites is added. This results in the formation of magnetosensitive aggregates incorporating micro- and nanoplastics, which can be removed through magnetic separation. The application of this method holds promise for the purification of water from various micro- and nanoplastics in combination with organic pollutants, heavy metals, and other substances with potential ecological risks.
目标：本研究的目标是综合现有的含有微塑料和纳米塑料的水净化方法，同时开发一种新的有效的水净化方法，以减少微塑料和纳米塑料对环境和人类健康的影响。材料和研究方法：研究对象包括来自一家印刷厂的废水样本，其中除其他污染物外，还含有微塑料和纳米塑料。应用的研究方法包括信息学、红外光谱学、热重分析和 X 射线衍射。结果：分析了从受污染的水中去除微塑料和纳米塑料的现状。总结了现有的含有微塑料和纳米塑料的水净化方法。确定了纳米塑料的定性成分，包括聚酰胺、聚酰亚胺、聚噁二唑和氟塑料。通过热处理，确定了聚噁二唑和氟塑料等耐热塑料。研究发现，仅使用吸附法（石墨吸附剂）或等离子化学法都不够有效。研究了在高压放电过程中，微塑料颗粒在吸附在吸附剂上的腐植酸存在下的活化机制。开发了一种用于净化受污染水体的综合等离子体化学方法，可有效去除水生环境中的微塑料和纳米塑料。研究结论当前水污染的生态状况非常不利，其特点是微塑料和纳米塑料以及各种有毒物质的污染日益严重。由于其强大的吸附特性，微塑料和纳米塑料加剧了对自然环境和人类健康的毒性影响。清除微塑料和纳米塑料及相关污染物是当代亟待解决的问题。所取得的成果促使人们开发出一种全面的等离子化学方法，用于净化受微塑料和纳米塑料污染的水。这种方法包括对受污染的液体进行等离子化学处理，然后在其中加入高分散性烟晶石的改性腐殖质水分散液。这样就形成了包含微塑料和纳米塑料的磁敏聚合体，可以通过磁分离去除。这种方法的应用有望净化水中的各种微塑料和纳米塑料，以及有机污染物、重金属和其他具有潜在生态风险的物质。
{"title":"Environmental aspects of restoring the environment: nanotechnology for removing micro and nanoplastics from water","authors":"Yu L Zabulonov, T. Melnychenko, V. Kadoshnikov, I. Pysanska, L.A. Odukhalets, O. Petrenko","doi":"10.32402/dovkil2023.04.060","DOIUrl":"https://doi.org/10.32402/dovkil2023.04.060","url":null,"abstract":"Objective: The goal of the research is to synthesize existing approaches for water purification containing micro- and nanoplastics while also developing a new effective method for such purification to reduce the impact of micro- and nanoplastics on the environment and human health. Materials and Research Methods: The research subject included samples of wastewater from a printing facility, which among other pollutants, contained micro- and nanoplastics. Research methods applied include informational, IR spectroscopy, thermogravimetric analysis, and X-ray diffraction. Results: An analysis of the current state of micro- and nanoplastics removal from contaminated water was conducted. Existing approaches for water purification containing micro- and nanoplastics were summarized. The qualitative composition of nanoplastics was determined, including polyamides, polyimides, polyoxadiazole, and fluoroplastics. The application of thermal treatment allowed the identification of heat-resistant plastics like polyoxadiazole and fluoroplastics. Using either only sorption (with graphite-based sorbents) or only plasma chemical methods was found to be insufficiently effective. The activation mechanism of microplastic particles in the presence of humic acids adsorbed on smectites during high-voltage discharge was examined. A comprehensive plasma chemical method for the purification of contaminated water was developed, effectively removing micro- and nanoplastics from the aquatic environment. Conclusions: The current ecological situation regarding water pollution is highly unfavorable and characterized by an increasing contamination of micro- and nanoplastics combined with various toxic substances. Due to their significant adsorption properties, micro- and nanoplastics exacerbate the toxic effects on the natural environment and human health. The removal of micro- and nanoplastics and associated pollutants is an urgent contemporary issue. The obtained results have led to the development of a comprehensive plasma chemical method for purifying contaminated water from micro- and nanoplastics. This method involves plasma chemical treatment of the contaminated liquid, to which a water dispersion of modified humic substances of high-dispersion smectites is added. This results in the formation of magnetosensitive aggregates incorporating micro- and nanoplastics, which can be removed through magnetic separation. The application of this method holds promise for the purification of water from various micro- and nanoplastics in combination with organic pollutants, heavy metals, and other substances with potential ecological risks.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013378","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}
Pub Date : 2023-12-01DOI: 10.32402/dovkil2023.04.068
O. Rudnytska, R.V. Savina, S. Leikykh, Yu. Melchenko, V. Korkach, S. Novokhatska
The Aim - conducting a comparative analysis of the main indicators of the Institute's scientific activity for the period 2018 - 2022. Materials and methods: the analysis was carried out on the basis of the publication activity of the Institute's researches in 2018 – 2022 and the materials of the implementation of the results of research works presented in the Institute's annual reports. The number of the published material of the Institute amounted to more than 1,000 items. Bibliosemantic, analytical and statistical methods were used to process the materials. Research results: the main result of the conducted analysis is the establishment of the most significant results of the Institute's scientific activity for the period 2018-2022: • the Concept of the formation of a strategy for the prevention of defects in the provision of medical care in the domestic health care system was developed, which can be the basis for the formation of an appropriate policy and strategy in the field of quality and safety of medical care in Ukraine; • prognostic trends of changes in children's morbidity were determined; modern approaches to the integral assessment of the health of the child population have been developed to improve the principles of dynamic monitoring of its formation using information technologies; • the system of preventive measures against hypokinesia in urban adolescents is substantiated, based on identified indicators of motor activity, factors affecting children's motor activity; • the medical and ecological problems of assessing the danger to public health of the consequences of climate change related to atmospheric air pollution are prioritized; • the carcinogenic risk from the action of chloroform in drinking water was determined using simplified mathematical formulas; • available technologies for water purification from radionuclides are proposed; Conclusions: The analysis of the main indicators of the Institute's scientific activity for the period 2018 - 2022 made it possible to establish the types of scientific production typical for this field of activity, the reasons for their decrease in certain years of the considered period; areas of their implementation; determine significant results of research works; to confirm the compliance of the chosen topic of research work with the tasks of the National Academy of Sciences of Ukraine and the main recommendations of the WHO in the field of public health.
{"title":"Analysis of the main results of the scientific research works of the DI «O.M. Marzieiev institute for public health of the NAMS of Ukraine» for 2018-2022","authors":"O. Rudnytska, R.V. Savina, S. Leikykh, Yu. Melchenko, V. Korkach, S. Novokhatska","doi":"10.32402/dovkil2023.04.068","DOIUrl":"https://doi.org/10.32402/dovkil2023.04.068","url":null,"abstract":"The Aim - conducting a comparative analysis of the main indicators of the Institute's scientific activity for the period 2018 - 2022. Materials and methods: the analysis was carried out on the basis of the publication activity of the Institute's researches in 2018 – 2022 and the materials of the implementation of the results of research works presented in the Institute's annual reports. The number of the published material of the Institute amounted to more than 1,000 items. Bibliosemantic, analytical and statistical methods were used to process the materials. Research results: the main result of the conducted analysis is the establishment of the most significant results of the Institute's scientific activity for the period 2018-2022: • the Concept of the formation of a strategy for the prevention of defects in the provision of medical care in the domestic health care system was developed, which can be the basis for the formation of an appropriate policy and strategy in the field of quality and safety of medical care in Ukraine; • prognostic trends of changes in children's morbidity were determined; modern approaches to the integral assessment of the health of the child population have been developed to improve the principles of dynamic monitoring of its formation using information technologies; • the system of preventive measures against hypokinesia in urban adolescents is substantiated, based on identified indicators of motor activity, factors affecting children's motor activity; • the medical and ecological problems of assessing the danger to public health of the consequences of climate change related to atmospheric air pollution are prioritized; • the carcinogenic risk from the action of chloroform in drinking water was determined using simplified mathematical formulas; • available technologies for water purification from radionuclides are proposed; Conclusions: The analysis of the main indicators of the Institute's scientific activity for the period 2018 - 2022 made it possible to establish the types of scientific production typical for this field of activity, the reasons for their decrease in certain years of the considered period; areas of their implementation; determine significant results of research works; to confirm the compliance of the chosen topic of research work with the tasks of the National Academy of Sciences of Ukraine and the main recommendations of the WHO in the field of public health.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139016443","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}
Pub Date : 2023-12-01DOI: 10.32402/dovkil2023.04.011
H.M. Yuntunen, N.M. Onul
Purpose: to determine the regional features of urological morbidity and its specific weight in the structure of the general morbidity of the adult population of the Dnipropetrovsk region. Materials and methods. Bibliosemantic, analytical, and medical-statistical methods were used, which make it possible to characterize the current state of health of the population and determine trends in the incidence and prevalence of diseases. The results. The average long-term indicator of the primary morbidity of the population of the Dnipropetrovsk region for all classes of diseases was 7,272.23 per 10,000 adult population, total morbidity was 22,250.84 per 10,000 adult population with a tendency to increase, hospital morbidity was 2,167.9 per 10,000 adult population, with a general tendency to decrease the level of hospitalization. Diseases of the genitourinary system rank second, fourth, and sixth in the structure of primary morbidity, prevalence of morbidity, and hospital morbidity of the adult population, respectively. The leading nosological groups of urological diseases registered for the first time in the adult population of the region are cystitis - 64.88 cases per 10 thousand population, kidney infections - 43.23 per 10 thousand population and kidney and ureter stones - 17.92 per 10 thousand population with a tendency to increase indicators during the studied period, with the exception of kidney and ureter stones. Similar trends persist for the prevalence of diseases. The level of hospitalization of the population of the region turned out to be the highest for kidney and ureter stones - 25.28 per 10 thousand population and kidney infections - 20.01 per 10 thousand population, remained relatively stable during 2012-2019, while during 2020- In 2021, a significant decrease was noted for kidney and ureter stones, kidney infections, while the indicator of hospital morbidity for kidney and ureter stones remained relatively stable. Conclusions. Significant levels of morbidity and prevalence of diseases of the genitourinary system, including urological diseases, negative trends towards their increase require improvement of monitoring of the health status of the population, prevention, timely and complete detection of urological pathology, and high-quality treatment.
{"title":"Features of incidence of urology diseases among the adult population of the Dnipropetrovsk region","authors":"H.M. Yuntunen, N.M. Onul","doi":"10.32402/dovkil2023.04.011","DOIUrl":"https://doi.org/10.32402/dovkil2023.04.011","url":null,"abstract":"Purpose: to determine the regional features of urological morbidity and its specific weight in the structure of the general morbidity of the adult population of the Dnipropetrovsk region. Materials and methods. Bibliosemantic, analytical, and medical-statistical methods were used, which make it possible to characterize the current state of health of the population and determine trends in the incidence and prevalence of diseases. The results. The average long-term indicator of the primary morbidity of the population of the Dnipropetrovsk region for all classes of diseases was 7,272.23 per 10,000 adult population, total morbidity was 22,250.84 per 10,000 adult population with a tendency to increase, hospital morbidity was 2,167.9 per 10,000 adult population, with a general tendency to decrease the level of hospitalization. Diseases of the genitourinary system rank second, fourth, and sixth in the structure of primary morbidity, prevalence of morbidity, and hospital morbidity of the adult population, respectively. The leading nosological groups of urological diseases registered for the first time in the adult population of the region are cystitis - 64.88 cases per 10 thousand population, kidney infections - 43.23 per 10 thousand population and kidney and ureter stones - 17.92 per 10 thousand population with a tendency to increase indicators during the studied period, with the exception of kidney and ureter stones. Similar trends persist for the prevalence of diseases. The level of hospitalization of the population of the region turned out to be the highest for kidney and ureter stones - 25.28 per 10 thousand population and kidney infections - 20.01 per 10 thousand population, remained relatively stable during 2012-2019, while during 2020- In 2021, a significant decrease was noted for kidney and ureter stones, kidney infections, while the indicator of hospital morbidity for kidney and ureter stones remained relatively stable. Conclusions. Significant levels of morbidity and prevalence of diseases of the genitourinary system, including urological diseases, negative trends towards their increase require improvement of monitoring of the health status of the population, prevention, timely and complete detection of urological pathology, and high-quality treatment.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013369","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}
Pub Date : 2023-09-01DOI: 10.32402/dovkil2023.03.004
I. Chernychenko, N. Balenko, O. Lytvychenko, V. Babii, O.Ye. Kondratenko, D. Hlavachek
The purpose of this work was to determine the carcinogen-hazardous factors in the environment and the criteria for assessing their danger to the population in modern conditions (pre-war period). Materials and methods of research: reports of research works of the Laboratory of Hygiene of Carcinogenic Factors and Nanomaterials of the SI «O.M. Marzieiev Institute for Public Health, NAMS of Ukraine» and own publications over the past 5 years. Bibliosemantic, analytical, hygienic and medical-statistical methods were used to process the materials. Results. The analysis of field and analytical studies has shown that over the past 20-25 years old, against the backdrop of a reduction in industrial emissions, the volume of use of plant protection products and plant products in agricultural activity has increased significantly, and in everyday life – household chemicals, cosmetics, etc., most of which contain specific substances – endocrine disruptors. It was shown that over the years, the rate of increase in the rate of cancer of the endocrine organs (cancer of the mammary, thyroid, prostate glands), uterine body and ovaries increases. The obtained data indicate a trend towards rejuvenation of oncological diseases of hormone-dependent organs. The danger of atmospheric air pollution in cities has been studied; a comparative assessment of carcinogenic and non-carcinogenic risk for the population in a highly industrialized city with a complex of ferrous metallurgy enterprises and a city where there are no specific sources of pollution was carried out. It was concluded that for study of environmental issues regarding the state of the air environment, it is sufficient to use hygienic indicators - maximum permissible concentrations and total pollution indicators, while for the assessment of the impact on human health, the use of risk indicators is more adequate. This raises the question of the compliance of domestic hygienic (medical and sanitary) regulations with international risk indicators. This is especially true for factors with mutagenic and carcinogenic properties. The analysis of risk indicators for a number of carcinogenic substances included in the domestic regulatory and methodological bases at the level of their maximum permissible concentrations proved that the standards for atmospheric air according to the international classification scale correspond to an acceptable risk (1 - 104) for only 26% of substances, and for air of the working area - 45% of substances. Consequently, most of the hygienic standards, both in the atmospheric air of populated areas and in the air of the working area, according to international standards, do not meet the safety requirements for the population and need to be revised using international approaches and focusing on the risk criteria for the development of neoplasms due to the action of individual compounds. Conclusions: the real air pollution in populated areas poses a certain danger to the population and requires
{"title":"Chemical carcinogens in the environment of ukraine: risk to the population, ways of prevention, improvement of hygienic regulation","authors":"I. Chernychenko, N. Balenko, O. Lytvychenko, V. Babii, O.Ye. Kondratenko, D. Hlavachek","doi":"10.32402/dovkil2023.03.004","DOIUrl":"https://doi.org/10.32402/dovkil2023.03.004","url":null,"abstract":"The purpose of this work was to determine the carcinogen-hazardous factors in the environment and the criteria for assessing their danger to the population in modern conditions (pre-war period). Materials and methods of research: reports of research works of the Laboratory of Hygiene of Carcinogenic Factors and Nanomaterials of the SI «O.M. Marzieiev Institute for Public Health, NAMS of Ukraine» and own publications over the past 5 years. Bibliosemantic, analytical, hygienic and medical-statistical methods were used to process the materials. Results. The analysis of field and analytical studies has shown that over the past 20-25 years old, against the backdrop of a reduction in industrial emissions, the volume of use of plant protection products and plant products in agricultural activity has increased significantly, and in everyday life – household chemicals, cosmetics, etc., most of which contain specific substances – endocrine disruptors. It was shown that over the years, the rate of increase in the rate of cancer of the endocrine organs (cancer of the mammary, thyroid, prostate glands), uterine body and ovaries increases. The obtained data indicate a trend towards rejuvenation of oncological diseases of hormone-dependent organs. The danger of atmospheric air pollution in cities has been studied; a comparative assessment of carcinogenic and non-carcinogenic risk for the population in a highly industrialized city with a complex of ferrous metallurgy enterprises and a city where there are no specific sources of pollution was carried out. It was concluded that for study of environmental issues regarding the state of the air environment, it is sufficient to use hygienic indicators - maximum permissible concentrations and total pollution indicators, while for the assessment of the impact on human health, the use of risk indicators is more adequate. This raises the question of the compliance of domestic hygienic (medical and sanitary) regulations with international risk indicators. This is especially true for factors with mutagenic and carcinogenic properties. The analysis of risk indicators for a number of carcinogenic substances included in the domestic regulatory and methodological bases at the level of their maximum permissible concentrations proved that the standards for atmospheric air according to the international classification scale correspond to an acceptable risk (1 - 104) for only 26% of substances, and for air of the working area - 45% of substances. Consequently, most of the hygienic standards, both in the atmospheric air of populated areas and in the air of the working area, according to international standards, do not meet the safety requirements for the population and need to be revised using international approaches and focusing on the risk criteria for the development of neoplasms due to the action of individual compounds. Conclusions: the real air pollution in populated areas poses a certain danger to the population and requires","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127941147","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}
Pub Date : 2023-09-01DOI: 10.32402/dovkil2023.03.045
I.S. Yeremeiev, A.O. Dychko, S. Harkavyi, O.V. Savchuk, S.V. Hulich
The aim of the research is to develop recommendations for monitoring the quality of habitat in megacities, taking into account the uncertainty factor and the risks of man-made factors of influence. Materials and methods. National and regional reports on the state of the natural environment in Ukraine, research of the Ukrainian and foreign scientists on assessing the quality of life in the metropolis and the effectiveness of environmental monitoring in the management decision-making system are used as research materials. To achieve the goal of the research, the methods of system analysis, elements of the theory of fuzzy sets, the theory of probabilities, the theory of decision-making, Euclidean metrics, etc. are used. The results. The task of modern monitoring systems is constant monitoring of the current level of pollution, as well as forecasting possible trends of changes in this level, with the possibility of observing and identifying the state of environmental pollution. The task of identifying the dynamics of the technogenic pollution area can be reduced to the analysis of observations and comparisons of their results with each other by evaluating the Euclidean metric. Identifying the limit levels of pollution at which their harmful effects begin to manifest, as well as establishing the synergism effect will allow to provide an integral assessment of the quality of the environment. Conclusions. Management of the level of influence of environmental factors on the quality of life in megapolis is related to the solution of such problems as the creation of procedures for effective identification of the state, the development of a set of unified scenarios for overcoming problems, the need to form the structure of a typical decision-making system in crisis situations, etc. As a rule, management decisions in the field of environmental safety of megacities take place under conditions of uncertainty. The choice of one or another alternative is influenced by such factors as remote or indirect consequences of decisions, problems of "trifles" in the information provision of management decision-making, etc.
{"title":"Risk-orienteted monitoring of environmental factors affecting the quality of life in megapolises","authors":"I.S. Yeremeiev, A.O. Dychko, S. Harkavyi, O.V. Savchuk, S.V. Hulich","doi":"10.32402/dovkil2023.03.045","DOIUrl":"https://doi.org/10.32402/dovkil2023.03.045","url":null,"abstract":"The aim of the research is to develop recommendations for monitoring the quality of habitat in megacities, taking into account the uncertainty factor and the risks of man-made factors of influence. Materials and methods. National and regional reports on the state of the natural environment in Ukraine, research of the Ukrainian and foreign scientists on assessing the quality of life in the metropolis and the effectiveness of environmental monitoring in the management decision-making system are used as research materials. To achieve the goal of the research, the methods of system analysis, elements of the theory of fuzzy sets, the theory of probabilities, the theory of decision-making, Euclidean metrics, etc. are used. The results. The task of modern monitoring systems is constant monitoring of the current level of pollution, as well as forecasting possible trends of changes in this level, with the possibility of observing and identifying the state of environmental pollution. The task of identifying the dynamics of the technogenic pollution area can be reduced to the analysis of observations and comparisons of their results with each other by evaluating the Euclidean metric. Identifying the limit levels of pollution at which their harmful effects begin to manifest, as well as establishing the synergism effect will allow to provide an integral assessment of the quality of the environment. Conclusions. Management of the level of influence of environmental factors on the quality of life in megapolis is related to the solution of such problems as the creation of procedures for effective identification of the state, the development of a set of unified scenarios for overcoming problems, the need to form the structure of a typical decision-making system in crisis situations, etc. As a rule, management decisions in the field of environmental safety of megacities take place under conditions of uncertainty. The choice of one or another alternative is influenced by such factors as remote or indirect consequences of decisions, problems of \"trifles\" in the information provision of management decision-making, etc.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114405415","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}
Pub Date : 2023-09-01DOI: 10.32402/dovkil2023.03.039
V. Stankevych, A.I. Kostenko, H.Ya. Trakhtenherts, I. Kakura, О.M. Fedoryshyna, N.M. Gumennikova
Aim: to define the criteria of estimation of harmful action of industrial wastes by the different ways of entering organism. Objects and research methods. The objects of the study were industrial waste from various branches of enterprises. Research methods: sanitary-chemical, toxicological, radiological, biological: according to bacteriological and helminthological indicators, the method of hygienic analysis. Results of research and their discussion. The study of industrial waste from various branches of origin made it possible to establish that the physico-mechanical and chemical properties of waste determine the effects of their action on the body and are one of the important criteria for harmful effects on the health of the population. Red sludge - waste in the form of a powdery mass of finely dispersed particles), highly volatile, has a high ability to form dust. The content of toxic compounds of heavy metals in the form of hydroxides (pH - 11.7) characterizes the waste as dangerous when entering the body by inhalation, oral and percutaneous means. Thermal energy waste - fly ash, ash-slag mixtures, slurries containing toxic compounds of metals, mainly vanadium, differ in physical and mechanical properties and chemical composition, which determines their dangerous properties. When inhaled into the body, such waste belongs to class II - highly dangerous substances. Waste from the tailings depository of the Ingulets Mining and Processing Plant is characterized by a high content of toxic iron compounds (Fe - 14.5%) and a dust factor, which is the most dangerous for atmospheric air pollution with a harmful effect on human respiratory organs. For waste of organic origin, the most important evaluation criterion is biological (microbiological and helminthological) indicators, which guarantee the degree of epidemiological safety of such waste. The results of our research allow us to state that industrial waste from the most common industries is characterized by hazardous properties, the predominant factor of which is the dust factor, which must be taken into account when handling such waste, and the introduction of modern dust suppression technologies. It is also necessary to take into account that in the waste composition of even one branch of industry, chemical compounds are characterized by various negative effects on the body. Therefore, a comprehensive sanitary-epidemiological assessment of waste with the determination of its dangerous properties according to medical criteria, establishing the hazard class of waste in various ways of entering the body is the basis for preventing their negative impact on the health of the population, which will contribute to the development of measures for controlled waste management. Conclusions. Taking into account the hazardous properties of waste according to medical criteria is an important factor necessary for conducting a comprehensive sanitary-epidemiological assessment of industrial waste and developing m
{"title":"Criteria assessment of the harmful effect of industrial waste of various industries according to international standards","authors":"V. Stankevych, A.I. Kostenko, H.Ya. Trakhtenherts, I. Kakura, О.M. Fedoryshyna, N.M. Gumennikova","doi":"10.32402/dovkil2023.03.039","DOIUrl":"https://doi.org/10.32402/dovkil2023.03.039","url":null,"abstract":"Aim: to define the criteria of estimation of harmful action of industrial wastes by the different ways of entering organism. Objects and research methods. The objects of the study were industrial waste from various branches of enterprises. Research methods: sanitary-chemical, toxicological, radiological, biological: according to bacteriological and helminthological indicators, the method of hygienic analysis. Results of research and their discussion. The study of industrial waste from various branches of origin made it possible to establish that the physico-mechanical and chemical properties of waste determine the effects of their action on the body and are one of the important criteria for harmful effects on the health of the population. Red sludge - waste in the form of a powdery mass of finely dispersed particles), highly volatile, has a high ability to form dust. The content of toxic compounds of heavy metals in the form of hydroxides (pH - 11.7) characterizes the waste as dangerous when entering the body by inhalation, oral and percutaneous means. Thermal energy waste - fly ash, ash-slag mixtures, slurries containing toxic compounds of metals, mainly vanadium, differ in physical and mechanical properties and chemical composition, which determines their dangerous properties. When inhaled into the body, such waste belongs to class II - highly dangerous substances. Waste from the tailings depository of the Ingulets Mining and Processing Plant is characterized by a high content of toxic iron compounds (Fe - 14.5%) and a dust factor, which is the most dangerous for atmospheric air pollution with a harmful effect on human respiratory organs. For waste of organic origin, the most important evaluation criterion is biological (microbiological and helminthological) indicators, which guarantee the degree of epidemiological safety of such waste. The results of our research allow us to state that industrial waste from the most common industries is characterized by hazardous properties, the predominant factor of which is the dust factor, which must be taken into account when handling such waste, and the introduction of modern dust suppression technologies. It is also necessary to take into account that in the waste composition of even one branch of industry, chemical compounds are characterized by various negative effects on the body. Therefore, a comprehensive sanitary-epidemiological assessment of waste with the determination of its dangerous properties according to medical criteria, establishing the hazard class of waste in various ways of entering the body is the basis for preventing their negative impact on the health of the population, which will contribute to the development of measures for controlled waste management. Conclusions. Taking into account the hazardous properties of waste according to medical criteria is an important factor necessary for conducting a comprehensive sanitary-epidemiological assessment of industrial waste and developing m","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125314889","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}
Pub Date : 2023-09-01DOI: 10.32402/dovkil2023.03.062
S. Hozak, O. Yelizarova, T. Stankevych, A. Parats
The aim of the study was to examine the effects of learning and behavioural factors on the health and adaptability of school-aged children. Methods. The article presents the research results on the influence of behavioural and learning factors on the health of school-aged children based on the findings of three scientific research projects in the Laboratory of Social Determinants of Children's Health during 2017-2022. QAPACE, Q-RAPH, GPAQ, and RCADS-P-25 questionnaires were used for data collection. Physical and mental parameters were measured to evaluate health, computed comprehensive indicators, and analyzed behavioural factors. Statistical analysis was performed using STATISTICA 8.0 and IBM SPSS STATISTICS 26. Results. Significant differences were found in the duration of both total and different types of physical activity (PA), sedentary behaviour, sleep duration and quality in groups of children with different levels of health before and during the COVID-19 pandemic. Moderate-to-vigorous PA, about 60 min/day, the most maintained a high level of children's health, confirming other scientists' findings. Optimal levels of daily and weekly different PA were calculated for school-age children by age group and gender under ordinary living conditions and quarantine measures. Our research has shown how children adapt to distance learning varies significantly depending on the format used. Synchronous e-learning was the most beneficial and recommended approach for promoting the well-being of school-age children, whereas assigning independent work tasks through messaging platforms was less favourable. Conclusions. A significant influence of the format of distance learning and daily routine factors on the health and adaptation of school-age children in everyday living and during quarantine measures was established. We found that disrupting children's daily routines and excessive sedentary behaviour can interfere with adaptation and increase the potential for maladaptive responses to stress. Therefore, following physical activity guidelines for school-aged children based on their physiological and psychological characteristics is crucial to promote overall health and well-being.
{"title":"The influence of learning factors and daily routine on the health of school-age children: results of scientific research of the laboratory of social determinants of children’s health during 2017-2022","authors":"S. Hozak, O. Yelizarova, T. Stankevych, A. Parats","doi":"10.32402/dovkil2023.03.062","DOIUrl":"https://doi.org/10.32402/dovkil2023.03.062","url":null,"abstract":"The aim of the study was to examine the effects of learning and behavioural factors on the health and adaptability of school-aged children. Methods. The article presents the research results on the influence of behavioural and learning factors on the health of school-aged children based on the findings of three scientific research projects in the Laboratory of Social Determinants of Children's Health during 2017-2022. QAPACE, Q-RAPH, GPAQ, and RCADS-P-25 questionnaires were used for data collection. Physical and mental parameters were measured to evaluate health, computed comprehensive indicators, and analyzed behavioural factors. Statistical analysis was performed using STATISTICA 8.0 and IBM SPSS STATISTICS 26. Results. Significant differences were found in the duration of both total and different types of physical activity (PA), sedentary behaviour, sleep duration and quality in groups of children with different levels of health before and during the COVID-19 pandemic. Moderate-to-vigorous PA, about 60 min/day, the most maintained a high level of children's health, confirming other scientists' findings. Optimal levels of daily and weekly different PA were calculated for school-age children by age group and gender under ordinary living conditions and quarantine measures. Our research has shown how children adapt to distance learning varies significantly depending on the format used. Synchronous e-learning was the most beneficial and recommended approach for promoting the well-being of school-age children, whereas assigning independent work tasks through messaging platforms was less favourable. Conclusions. A significant influence of the format of distance learning and daily routine factors on the health and adaptation of school-age children in everyday living and during quarantine measures was established. We found that disrupting children's daily routines and excessive sedentary behaviour can interfere with adaptation and increase the potential for maladaptive responses to stress. Therefore, following physical activity guidelines for school-aged children based on their physiological and psychological characteristics is crucial to promote overall health and well-being.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121315336","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}
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