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STUDY RESULTS OF NATURAL FOCI OF TULAREMIA IN THE CRIMEA 克里米亚地区兔热病自然疫源地的研究结果
Pub Date : 2019-07-01 DOI: 10.35627/2219-5238/2019-316-7-50-55
We analyzed the observations’ results of natural foci of tularemia on the territory of Crimea during 2015–2018. Material from small mammals, ticks and pellets of predatory birds by means of polymerase chain reaction (PCR), enzyme-linked immunoassay (ELISA) and the reactions of indirect (passive) hemagglutination (RIHA) was investigated. Positive samples were detected in the zoological and entomological material. Synanthropic and hemisinanthropic species are found among infected small mammals, which indicates the existing risk of human diseases in human settlements. The activity of natural foci registered in 14 of the 26 municipal territories of the peninsula. To clarify the boundaries of natural foci and determine the degree of their activity, it is necessary to continue monitoring of natural ecosystems, conduct a comprehensive analysis of the populations’ status of small mammals and blood-sucking ectoparasites, epizootic and epidemic manifestations in various areas of Crimea for a longer period.
我们对2015-2018年克里米亚境内兔热病自然疫源地的观测结果进行了分析。采用聚合酶链式反应(PCR)、酶联免疫分析法(ELISA)和间接(被动)血凝反应(RIHA)对小兽类、蜱类和捕食性鸟类颗粒进行了检测。在动物和昆虫学资料中检出阳性样本。在受感染的小型哺乳动物中发现了同人类和半人类的物种,这表明人类住区存在人类疾病的风险。在半岛的26个市辖区中,有14个登记了自然疫源地的活动。为了明确自然疫源地的边界,确定其活动程度,需要在更长时间内继续监测自然生态系统,对克里米亚各地区的小型哺乳动物和吸血外寄生虫种群状况、动物流行病和流行病表现进行综合分析。
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引用次数: 0
ON JUSTIFICATION OF CHANGESIN THE RADON CONTENT RATIONING IN INDOOR AIR 论室内空气氡含量定量变化的合理性
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-42-48
I. Romanovich, Т. Kormanovskaya, D. V. Kononenko
The deadline for the development of the final draft of the new radiation safety standards RSS-2019, harmonized with international recommendations, including the regulation of radon content in the indoor air of residential and public buildings is expected to be finished in 2019. We estimated the possibility and expediency for replacement of the hygienic standard established in RSS -99/2009 with the reference level recommended by the International Basic Safety Standards of IAEA GSR Part 3 on the basis of data analysis results on radon content levels in indoor air of residential and public buildings on the territory of subjects of the Russian Federation. An analysis of the array of measurements results for radon content with a volume of 680,301 measurements taken during the period from 2001 to 2017 in the subjects of the Russian Federation collected as part of Unified State System for Control of Individual Exposure Doses and stored in the Federal database of exposure doses of citizens of the Russian Federation due to the natural and man-made background radiation was carried out. Absolute and relative estimates of the number of radon EEVA values exceeding 200, 150 and 120 Bq/m3 were obtained, both for individual regions and for the country as a whole. The results show that the reduction of hygienic standard of radon EEVA will increase the share of the non-compliant regulatory instruments of residential and public buildings up to 150 Bq/m3 almost in 2 times, up to 120 Bq/m3 almost in 3 times on average in Russia. We formulated a number of proposals aimed at harmonizing the Russian standards of radon content in indoor air with the IAEA recommendations taking into account the economic feasibility and while maintaining the possibility of monitoring compliance with the requirements of radiation population safety.
新辐射安全标准RSS-2019最终草案的制定截止日期预计将于2019年完成,该标准与国际建议保持一致,包括对住宅和公共建筑室内空气中氡含量的规定。根据对俄罗斯联邦境内住宅和公共建筑室内空气氡含量的数据分析结果,我们估计了将RSS -99/2009中建立的卫生标准替换为国际原子能机构GSR第3部分国际基本安全标准推荐的参考水平的可能性和方便性。对2001年至2017年期间在俄罗斯联邦受试者中进行的680,301次氡含量测量结果进行了分析,这些测量结果是作为国家统一个人暴露剂量控制系统的一部分收集的,并存储在俄罗斯联邦公民因自然和人为本底辐射暴露剂量联邦数据库中。获得了个别地区和整个国家超过200、150和120 Bq/m3的氡EEVA值的绝对和相对估计数。结果表明,在俄罗斯,氡EEVA卫生标准的降低将使住宅和公共建筑的不合规监管工具的份额平均增加近2倍,达到150 Bq/m3,平均增加近3倍,达到120 Bq/m3。我们制定了一些建议,目的是使俄罗斯室内空气中氡含量的标准与原子能机构的建议协调一致,同时考虑到经济可行性,同时保持监测遵守辐射人口安全要求的可能性。
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引用次数: 2
STATE OFENDOGENOUS MECHANISMS FOR BODY'S DEFENSE AT WORK IN CONDITIONSOF MICROBIAL AIR CONTAMINATION OF WORKING AREA 工作区域微生物空气污染条件下人体内源性防御机制的研究现状
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-27-30
L. Masyagutova, G. V. Timasheva, L. G. Gizatullina, G. R. Sadrtdinova, A. Z. Fagamova
We analyzed the data of the detailed examination of employees of a number of livestock complex in the hospital.It is established that disorders of nonspecific adaptive mechanisms develop at influence of the productionfactors, testifying to the exhaustion of body's defenses, which is manifested in the imbalance of hematological,biochemical, immunological parameters. The obtained changes are most pronounced in employees with amaximum microbial load of the working area air.
我们对该院多个畜牧综合体职工的详细体检数据进行了分析。研究表明,非特异性适应机制的紊乱是在生产因子的影响下发生的,证明了机体防御能力的衰竭,表现为血液学、生化、免疫学参数的失衡。所获得的变化在工作区域空气中微生物负荷最大的员工中最为明显。
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引用次数: 0
RETROSPECTIVE ANALYSIS OF PRIMARY DISABILITY FORPERSONS OF A WORKING AGE DUE TO THE NERVOUS SYSTEM DISEASES DURINGTHE 2014–2018 PERIOD IN MOSCOW 2014-2018年莫斯科工作年龄人群因神经系统疾病导致原发性残疾的回顾性分析
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-7-10
A. Samusenko, N. S. Zapariy
We found a decrease in the number of first-recognized persons with disabilities due to the nervous systemdiseases among people of working age in both Moscow and the Central Federal District in the Russian Federationin the study of primary disability due to the nervous system diseases among people of working age inMoscow during the 2012–2018 period. Young people with disabilities prevailed in Moscow, middle-agedpeople with disabilities dominated in the Russian Federation in the first-recognized persons with disabilitiesstructure due to the nervous system diseases among people of working age. The proportion of young peoplewith disabilities in the first-recognized persons with disabilities structure in Moscow is higher than in theCentral Federal district and the Russian Federation, and the proportion of the average age ones is lower. Thelevel of primary disability among young people in Moscow is lower than in the Central Federal district and theRussian Federation. There is a predominance of disabled persons of group III among young people and groupsI and II among middle-aged people in the first-recognized persons with disabilities structure. The level of primarydisability of groups I, II and III due to the nervous system diseases is higher among middle-aged people.
在对2012-2018年期间莫斯科工作年龄人群因神经系统疾病导致的原发性残疾的研究中,我们发现莫斯科和俄罗斯联邦中央联邦区工作年龄人群中因神经系统疾病而首次确认的残疾人人数有所减少。莫斯科以青年残疾人为主,俄罗斯联邦以中年残疾人为主,在劳动年龄人群中首次确认因神经系统疾病造成的残疾人结构。在莫斯科市第一认定残疾人结构中,青年残疾人的比例高于中央联邦区和俄罗斯联邦,平均年龄的比例较低。莫斯科年轻人的初级残疾水平低于中央联邦区和俄罗斯联邦。在首次确认的残疾人结构中,青年中以第三类残疾人为主,中年人中以第一和第二类残疾人为主。中年人群因神经系统疾病导致的I、II、III类原发性残疾水平较高。
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引用次数: 2
ANALYSIS OF THE REGULATORY FRAMEWORK ANDMETHODOLOGICAL PROBLEMS OF HOUSEHOLD FOIL TESTING WITH REGARD TOTHE AMOUNT OF ALUMINUM MIGRATION INTO FOOD PRODUCTS 分析家用铝箔检测中铝迁移量的监管框架和方法问题
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-49-54
N. Zaitseva, P. Shur, S. V. Red’ko, V. Fokin, T. Ulanova, E. V. Stenno, G. A. Veikhman, M. S. Orlov, A. G. Agafonov, I. V. Protasenko
The paper shows that the technical regulation of the Russian Federation regarding the safety of aluminum foil forconsumer health has a number of methodological problems. We studied the laboratory test reports and found thereasons that could cause the lack of reproducibility of the studies’ results for a number of identical aluminum foilsamples. A number of differences were identified in domestic and foreign regulatory and procedural documents onthe evaluation of household foil testing with regard to the amount of aluminum migration from packagingmaterials into food products. It is necessary to clarify the methods for sanitary-chemical research of products incontact with food. It is proposed to conduct a detailed study of the conformity of specific model media to certainfood products and make changes and additions to regulatory and methodical instruments as a result.
本文表明,俄罗斯联邦关于铝箔消费者健康安全的技术法规存在一些方法上的问题。我们研究了实验室测试报告,并发现了可能导致许多相同铝箔样品的研究结果缺乏可重复性的原因。国内和国外关于家用铝箔测试评估的法规和程序文件在铝从包装材料迁移到食品中的量方面存在许多差异。有必要明确食品接触产品卫生化学研究的方法。建议对特定模型介质与某些食品的符合性进行详细研究,并因此对监管和方法工具进行更改和补充。
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引用次数: 2
PROBLEMATIC ISSUES OF THE GEOGRAPHIC INFORMATION SYSTEMS USE IN SOCIO-HYGIENIC MONITORING AND RISK-BASED SUPERVISION 在社会卫生监测和基于风险的监督中使用地理信息系统的问题
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-31-36
Е.М. Studenikina, Yu. I. Stepkin, O. V. Klepikov, I. Kolnet, L. Popova
The paper considers the problematic issues of the geographical information systems (GIS) use in the sociohygienicmonitoring (SHM). We analyzed scientific and practical publications on this subject that are freelyavailable on the largest Russian information portal of scientific electronic library eLIBRARY.RU during 2014-2018, which allowed us to formulate the principles of organization and requirements for effective operation ofgeographic and information systems in the socio-hygienic monitoring. An analysis of the implementation ofthese principles at the present stage of development for the socio-hygienic monitoring system is presented, theresults of which were used in formulating priority tasks in the area of geographic and information technologyimplementation into socio-hygienic monitoring and risk-based planning of control and supervisory measures:to determine the necessary level of detail and an information list depicted on electronic maps for theimplementation of risk-based control planning; to provide organizational and regulatory and methodologicalsupport for the hierarchical principle of GIS within Rospotrebnadzor operating on a single software product ofdomestic developers for organizations and institutions; to work out the need to combine GIS with similarsystems of other departments involved in the data collection of social and hygienic monitoring (Rosstat,Roshydromet, Rosprirodnadzor, Ministry of Health, etc.) to enable automated data export and import; to solvestaffing issues to ensure customization and subsequent GIS operation; to provide budget funding for thepurchase of licensed software products for GIS in SHM, preferably of Russian developers.
本文对地理信息系统(GIS)在社会卫生监测(SHM)中的应用问题进行了探讨。我们分析了在俄罗斯最大的科学电子图书馆信息门户网站上免费提供的关于这一主题的科学和实用出版物。RU在2014-2018年期间,这使我们能够制定组织原则和要求,以便在社会卫生监测中有效运行地理和信息系统。对社会卫生监测系统目前发展阶段这些原则的实施情况进行了分析。其结果用于制定地理和信息技术实施领域的优先任务,纳入社会卫生监测和基于风险的控制和监督措施规划:确定必要的详细程度和电子地图上描述的信息清单,以实施基于风险的控制规划;为俄罗斯国家地理信息系统的分层原则提供组织、监管和方法上的支持,或为组织和机构在国内开发人员的单一软件产品上运行;研究将GIS与参与社会和卫生监测数据收集的其他部门(Rosstat、rohydrodromet、Rosprirodnadzor、卫生部等)的类似系统相结合的必要性,以实现数据的自动导出和导入;解决人员配备问题,以确保定制和后续的GIS操作;为在SHM购买GIS授权软件产品提供预算资金,最好是俄罗斯开发商。
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引用次数: 3
DAILY VITAMINS PROVISION OF STUDENTS’BODY 每日为学生提供身体所需的维他命
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-15-18
М.А. Kazimov, V. Kazimova
The questionnaire survey method was used to study the students’ vitamin provision from four facultiesand three courses of the medical university. The absence of the faculty's value in the levels of vitamins’intake into the body has been established. The majority of the studied groups showed a low (com-pared tothe norm) level of vitamins in the diet with the exception of vitamin C. Studies have shown an inverserelationship of the content of vitamins in the daily diet of students from the study course. We observed agradual decrease in the vitamin content in the diet as the courses increase (from the 1st to the 5th).There is a statistically significant gender difference in the vitamins’ levels in the diet in all studied cases.So, the girls’diet contents significantly less vitamins than boys have. The obtained data may be the basisfor adjusting the organization of student nutrition.
采用问卷调查法,对某医科大学4个院系、3门课程学生的维生素供给情况进行了调查。在人体摄入维生素的水平中,教员的价值的缺失已经得到了证实。除了维生素c外,大多数研究组的饮食中维生素的含量都很低(与正常水平相比)。研究表明,参加研究课程的学生的日常饮食中维生素的含量呈反比关系。我们观察到,随着疗程的增加(从第1次到第5次),饮食中的维生素含量逐渐减少。在所有被研究的案例中,饮食中维生素的含量在统计上有显著的性别差异。所以,女孩饮食中的维生素含量明显低于男孩。所得数据可作为调整学生营养组织的依据。
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引用次数: 0
ANALYSIS OF THE PSYCHOLOGICAL COMPONENT OFPATIENTS’ LIFE QUALITY AFTER LIVER TRANSPLANT SURGERY AS AJUSTIFICATION OF THEIR ADAPTATION TO FURTHER LIFE IN SOCIETY 分析肝移植术后患者生活质量的心理因素,以证明其适应社会生活的合理性
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-11-14
S. V. Romanov
The paper analyzes the life quality of 34 patients who underwent liver transplantation using the SF-36questionnaire. The results showed a statistically significant decrease in the self-esteem of thepsychological component of the patients’ life quality who underwent surgery from one to three years agocompared to the first year after transplantation and subsequent periods. The self-esteem of the physicalcomponent of the patients’ life quality during this period was also reduced, but the statisticalsignificance in this case has not been proven. To author’s mind the decrease in the psychologicalcomponent of the recipients’ life quality during the period from one to three years after surgery isassociated with their social adaptation to new conditions, which necessitates the including psychologicalsupport in the dynamic monitoring programs for this group of patients.
采用sf -36问卷对34例肝移植患者的生活质量进行分析。结果显示,与移植后的第一年和随后的时期相比,在一到三年前接受手术的患者的生活质量心理部分的自尊有统计学上的显著下降。在此期间,患者生活质量的身体组成部分的自尊也有所下降,但在本例中的统计学意义尚未得到证实。笔者认为,术后1 - 3年内受术者生活质量的心理成分下降与他们对新环境的社会适应有关,因此有必要将心理支持纳入这组患者的动态监测计划中。
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引用次数: 3
MODERN ASPECTS OF PROFESSIONAL PATHOLOGICAL CARE TO AGRICULTURAL WORKERS 现代方面对农业工人的专业病理护理
Pub Date : 2019-06-25 DOI: 10.35627/2219-5238/2019-315-6-19-25
A. Danilov, G. Bezrukova, V. Spirin
We revealed a decrease of 19.2 percent in the number of workers in hazardous working conditionsduring the from 2011 to 2017 period based on the analysis of updated data on working conditions in theagricultural sector of the economy, regional levels of occupational morbidity, accessibility of medicalorganizations to rural residents and occupational morbidity of agricultural workers, which was notaccompanied by a corresponding drop in the share of this cohort in the total structure of employees in theagricultural sector, whose share decreased by 4.4 percent. The coverage of agricultural workers withperiodic medical examinations increased from 75.6 percent (2011) to 82.7 percent (2017) along with theincrease in the provision of rural health institutions with occupational physicians from 43.3 to 60.0percent of the level for need. The number of subjects of the Russian Federation on whose territory casesof occupational diseases were recorded decreased by 25.6 percent: from 39 to 29 regions during theperiod from 2011 to 2017. At the same time, the level of occupational morbidity increased by 32.3percent from 1.27 (2015) to 1.68 (2017) per 10 thousand workers in the industry. 43.7 − 57.2 percent ofoccupational diseases’ cases were diagnosed in self-referral to the centers of occupational pathology fordifferent years of observation. Most cases of occupational diseases were detected by the centers ofprofessional pathology operating on the basis of scientific organizations of Rospotrebnadzor, researchinstitutes of hygienic profile of federal subordination and institutions of higher professional education ofthe Russian Ministry of Health.
根据对农业经济部门工作条件、区域职业发病率水平、农村居民医疗机构可及性和农业工人职业发病率等最新数据的分析,我们发现,2011年至2017年期间,从事危险工作条件的工人人数减少了19.2%。与此同时,这一群体在农业部门雇员总结构中的份额也相应下降,下降了4.4%。农业劳动者定期体检覆盖率从2011年的75.6%提高到2017年的82.7%,农村卫生机构配备职业医师的比例从43.3%提高到60.0%。2011年至2017年期间,俄罗斯联邦境内记录职业病病例的主体数量减少了25.6%:从39个地区减少到29个地区。与此同时,该行业每万名工人的职业发病率从1.27(2015年)上升到1.68(2017年),上升了32.3%。43.7% ~ 57.2%的职业病病例是在不同年限的观察期内自行转诊到职业病理中心诊断的。大多数职业病病例是由在Rospotrebnadzor科学组织、联邦下属卫生概况研究所和俄罗斯卫生部高等职业教育机构的基础上运作的专业病理学中心检测的。
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引用次数: 4
TO THE ORGANIZATION AND CARRYINGOUT ACTIVITIES ON CONTROL WITHOUT INTERACTION WITH LEGALENTITIES AND INDIVIDUAL ENTREPRENEURS IN THE IMPLEMENTATION OFSOCIO-HYGIENIC MONITORING 在实施社会卫生监测的过程中,组织和开展控制活动,而不与法人实体和个体企业家互动
Pub Date : 2019-05-30 DOI: 10.35627/2219-5238/2019-314-5-4-9
A. N. Perezhogin, I. G. Zhdanova-Zaplesvichko
We proposed an algorithm for organizing and carrying out activities on control without interactingwith legal entities and individual entrepreneurs in the course of state social and hygienic monitoring(SHM). Methodological approaches to the development of the Order of tasks' drawing up for carryingout these activities, the requirements for their content, as well as the drawing up the activities’ resultson control without interaction with legal entities and individual entrepreneurs in the course of SHM byspecialists of the Federal Service for Surveillance of Consumer Rights Protection and Human Wellbeingwere suggested.
我们提出了一种在国家社会卫生监测过程中,不与法人和个体企业家互动的情况下组织和实施控制活动的算法。提出了由联邦消费者权利保护和人类福利监督局的专家制定开展这些活动的任务令、其内容的要求以及在SHM过程中不与法人实体和个体企业家相互作用的情况下制定活动结果控制的方法方法。
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引用次数: 0
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