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RISK COMMUNICATION TO HEALTH AS A COMPONENT OF THE RISKORIENTEDMODEL FOR THE PROVIDING MEDICAL CARE TO WORKINGPOPULATION 向健康部门通报风险,作为向工作人口提供医疗保健的面向风险模式的一个组成部分
Pub Date : 2019-02-01 DOI: 10.35627/2219-5238/2019-311-2-4-8
Kostarev Vg, S. Tendryakova, E. Vlasova, O. Ustinova, M. M. Poroshina, A. O. Barg
Results analysis of the current system of providing medical care to workers of industrial enterprises ofthe Perm Krai revealed its insufficient effectiveness in terms of risks communication to employees health.The purpose of risk communication to employees is to provide them with reliable and scientifically basedinformation about health risk factors associated with harmful chemical factors, risk levels, necessary andimplemented risk management measures, as well as about ways and means of individual prevention ofhealth problems. A survey of enterprises employees, medical staff of health centers and medicalorganizations showed that more than half of the respondents did not know about the features of theproduction process of the enterprise, harmful occupational factors at workplaces and occupational risks.It seems expedient to improve the process of risk communication to the health of all interested parties,and when preparing materials about the risks to the workers’ health, one must take into account thepeculiarities of perception of this type of information.
结果对彼尔姆边疆区现有工业企业职工医疗服务体系进行分析,发现其在员工健康风险沟通方面的有效性不足。对员工进行风险沟通的目的是向他们提供可靠和科学的信息,包括与有害化学因素相关的健康风险因素、风险水平、必要和实施的风险管理措施,以及个人预防健康问题的方法和手段。一项针对企业员工、卫生中心和医疗机构医务人员的调查显示,超过一半的受访者不了解企业生产过程的特点、工作场所的有害职业因素和职业风险。改进与所有利益相关方的健康风险沟通过程似乎是权宜之计,在准备有关工人健康风险的材料时,必须考虑到对这类信息的感知的特殊性。
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引用次数: 1
PREVALENCE OF OCCUPATIONAL BRONCHIALASTHMA IN PERSONS EXPOSED TO AEROSOLS IN VARIOUS BRANCHES OFINDUSTRY OF THE REPUBLIC OF BASHKORTOSTAN WITHIN 20 YEARS 20年内巴什科尔托斯坦共和国各工业部门气溶胶暴露者职业性支气管哮喘患病率
Pub Date : 2019-02-01 DOI: 10.35627/2219-5238/2019-311-2-36-39
E. F. Kabirova, G. Gimranova, A. Borisova, A. Bakirov, A. U. Shagalina, E. R. Abdrakhmanova, D. Karimov, G. F. Mukhammadieva
We conducted an analysis of occupational bronchial asthma prevalence among workers in variouseconomic sectors of the Republic of Bashkortostan.The most cases of occupational bronchial asthma areregistered among workers of healthcare and the provision of social services, manufacturing, productionand distribution of electricity, gas and water, etc.
我们对巴什科尔托斯坦共和国各经济部门工人的职业性支气管哮喘患病率进行了分析。大多数职业性支气管哮喘病例发生在医疗保健和社会服务提供、制造、生产和分配电力、天然气和水等行业的工人中。
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引用次数: 0
PREVALENCE AND MOLECULAR GENETICPECULIARITIES OF PARENTERAL VIRAL HEPATITIS B AND C AMONG HIVPOSITIVECITIZENS OF THE FAR EASTERN FEDERAL DISTRICT, INCLUDINGTHOSE PERSONS SENTENCED TO DEPRIVATION OF FREEDOM 远东联邦区艾滋病毒呈阳性的公民,包括被判处剥夺自由的人,肠道外病毒性乙型和丙型肝炎的流行情况和分子遗传学特点
Pub Date : 2019-02-01 DOI: 10.35627/2219-5238/2019-311-2-51-55
E. Bazykina, V. Turkutyukov, O. Trotsenko, V. Kotova, L. A. Balakhonsteva, L. V. Varnavskaya, V. Fomenko, M. A. Chechulina
We conducted a comparative analysis of the parenteral viral hepatitis B and C (HBV and HCV) prevalenceand their molecular genetic characteristics among prisoners of persons diagnosed with HIV infection (41samples), HIV-positive free citizens (187 samples) and «conditionally healthy population» with the lack ofinformation about the presence of a diagnosis of chronic viral hepatitis of any etiology and HIV infection(231 samples). Immunological and molecular biological research methods were used. Obtained data analysisshowed that the prevalence of infection markers with viruses of parenteral hepatitis was significantly higherin the groups of HIV-positive individuals (imprisoned and freemen). The HBsAg-negative form of thedisease was determined among the HIV-positive free population and in the «conditionally healthypopulation». Over the past 10 years (2009–2018), the proportion of HIV-positive prisoners in custody ofpeople with HCV monoinfection doubled, HBV was increased in 8.7 times. Significant decrease in thecombined infection of HBV and HCV of this contingent was found. Given this decrease in the penitentiarysystem in HIV-positive individuals, the overall burden of HBV infection (both in mono form and coinfectionwith HCV) significantly (5.3 times) decreased , which can be attributed to successful widespreadvaccination against hepatitis B in Russia. The most common HCV genotypes among HIV-positiveindividuals were 1b and 3a, genotypic structure of HBV prevailed genotype D.
我们对被诊断为HIV感染的囚犯(41个样本)、HIV阳性的自由公民(187个样本)和“有条件的健康人群”在缺乏任何病因的慢性病毒性肝炎诊断和HIV感染(231个样本)的情况下的肠道外乙型和丙型病毒性肝炎(HBV和HCV)患病率及其分子遗传特征进行了比较分析。采用免疫学和分子生物学研究方法。获得的数据分析表明,在hiv阳性个体(被监禁者和自由者)群体中,肠外肝炎病毒感染标记物的流行率显著较高。该疾病的hbsag阴性形式是在hiv阳性的自由人群和“条件健康人群”中确定的。在过去10年(2009-2018年)中,hiv阳性在押人员中HCV单感染者的比例增加了一倍,HBV增加了8.7倍。发现该人群HBV和HCV合并感染显著降低。鉴于hiv阳性个体在监狱系统中的减少,HBV感染的总体负担(包括单发感染和合并感染HCV)显着(5.3倍)下降,这可归因于俄罗斯成功地广泛接种了乙型肝炎疫苗。hiv阳性人群中最常见的HCV基因型为1b和3a, HBV基因型结构以基因型D为主。
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引用次数: 3
HYGIENIC ASSESSMENT OF HEALTH STATUS ANDANTHROPOMETRIC INDICATORS OF PRIMARY SCHOOL CHILDRENPHYSICAL DEVELOPMENT IN THE CITY AND THE COUNTRYSIDE 城乡小学生体质发育卫生状况及人体测量指标评价
Pub Date : 2019-01-01 DOI: 10.35627/2219-5238/2019-310-1-4-8
I. Saldan, A. P. Pashkov, O. Zhukova, S. Filippova, N. Potseluev, A. Nagornyak, O. Shved, A. I. Martynenko
We assessed the main anthropometric indicators of physical development (height, body weight and chestcircumference) in primary school children living and studying in the city and their peers living andstudying in the countryside. We carried out children's medical records analysis with an assessment ofhealth groups structure. It has been established that the physical development indicators in primaryschool rural children are statistically significantly higher than those of urban children in both boys andgirls. Chronic diseases are more common among urban children aged 7–10 years. The obtained resultsconfirm the need for a special approach to physical development assessing of children and adolescentsliving in cities and the countryside, as well as the need to develop preventive measures aimed atimproving and preserving the children health.
我们对城市小学生和农村小学生的主要身体发育指标(身高、体重和胸围)进行了评估。我们对儿童医疗记录进行了分析,并对健康组结构进行了评估。研究发现,农村小学儿童的身体发育指标无论在男孩还是女孩方面都明显高于城市儿童。慢性病在7-10岁的城市儿童中更为常见。所获得的结果证实了需要一种特殊的方法来评估生活在城市和农村的儿童和青少年的身体发育,以及需要制定旨在改善和保持儿童健康的预防措施。
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引用次数: 0
ASSESSMENTEXPERIENCE OF OCCUPATIONAL RISK ASSOCIATED WITH EXPOSURE TOINDUSTRIAL AEROSOLS UNDER THE CONDITIONS OF METALLURGICALENTERPRISE MODERNIZATION 冶金企业现代化条件下与工业气溶胶暴露有关的职业风险评估经验
Pub Date : 2019-01-01 DOI: 10.35627/2219-5238/2019-310-1-38-45
E. L. Bazarova, A. Fedoruk, N. Roslaya, I. S. Osherov, A. Babenko
The paper presents the assessment results of occupational risk associated with exposure to industrialaerosols, according to hygienic and clinical criteria of workers in metallurgical production modernizedsections. Occupational risk, depending on the working conditions in the professions studied, iscategorized from small to very high one. In most cases the pneumoconiosis real risk is comparable to theexpected when comparing the working conditions class on dust loads and the occupational diseasesindex. The aerosols impact significantly increased the developing risk of general somatic pathology ofrespiratory organs, skin, visual and auditory analyzers, musculoskeletal, urogenital, endocrine,reproductive, nervous systems, digestive systems, blood circulation, and blood disorders. There is a weakand medium degree of connection of general somatic morbidity with working conditions.
本文根据冶金生产现代化部门工人的卫生和临床标准,介绍了与工业气溶胶暴露相关的职业风险评价结果。职业风险,根据所研究的职业的工作条件,从小到非常高分类。在大多数情况下,尘肺病的实际风险与比较粉尘负荷和职业病指数的工作条件等级时的预期相当。气溶胶的影响显著增加了呼吸器官、皮肤、视觉和听觉分析、肌肉骨骼、泌尿生殖、内分泌、生殖、神经系统、消化系统、血液循环和血液疾病的一般躯体病理的发展风险。一般躯体疾病与工作条件有弱和中等程度的联系。
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引用次数: 7
TERRITORIES RANKING OF BASHKORTOSTAN ONTHE LEVEL OF FOOD PRODUCTS CONTAMINATION 巴什科尔托斯坦地区食品污染程度排名
Pub Date : 2019-01-01 DOI: 10.35627/2219-5238/2019-310-1-24-27
R. Daukaev, T. K. Larionova, G. R. Allayarova, G. F. Adieva, S. R. Afon’kina, A. S. Fazlyyeva, E. Usmanova, M. Kurilov
The article presents results of many years research into the contamination of the environment with heavymetals in various regions of Bashkortostan — a region with a high concentration of industrialproduction, a developed agricultural complex, and peculiar climatic conditions.We studied thecontamination by metals of the main types of foodstuffs for mass consumption (vegetables, meat, milk)produced in the region and making up a substantial part of public food basket of the Republic. Sanitaryhygienic,chemical-analytical and statistical research methods were used. The results of the research allowedto establish chemical elements background levels typical for animal and plant products obtained inspecific natural areas with a certain environmental situation, as well as to propose a system for territoriesranking by the degree of heavy metals accumulation in animal husbandry and crop production.
这篇文章介绍了多年来对巴什科尔托斯坦不同地区重金属污染环境的研究结果。巴什科尔托斯坦是一个工业生产高度集中、农业综合体发达、气候条件特殊的地区。我们研究了该地区生产的主要大众消费食品(蔬菜、肉类、牛奶)的金属污染情况,这些食品构成了共和国公共食品篮子的很大一部分。采用卫生卫生学、化学分析和统计学研究方法。研究结果建立了具有一定环境条件的特定自然区域动植物产品的典型化学元素背景水平,并提出了根据畜牧业和作物生产中重金属积累程度进行地域排序的系统。
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引用次数: 1
MICROBIOTA OF ENVIRONMENTOBJECTS AND MUCOUS MEMBRANES OF UPPER RESPIRATORY TRACT OFPATIENTS IN INFECTIOUS DISEASES DEPARTMENT AT NATIONAL HOSPITALOF PEDIATRICS IN HANOI, VIETNAM 越南河内市国立儿科医院感染性疾病科患者上呼吸道环境物及粘膜微生物群
Pub Date : 2019-01-01 DOI: 10.35627/2219-5238/2019-310-1-51-54
A. P. Rebeschenko, L. V. Kataeva, T. Stepanova, L. Hai, K. T. Dung, O. V. Posoiuznykh, Le Thi Minh Huong, T. Nhai
We studied the microbiota structure of environment objects and mucous membranes of the upper respiratorytract of patients in infectious diseases department at National Hospital of Pediatrics in Hanoi,Vietnam. We identified 94 strains of bacteria from the mucous membrane of the nose and throat of childrenand 69 strains from the department environment objects.The microbiological study results of theselected material samples showed differences in the microbiota structure colonizing patients and the departmentenvironment objects.Thus, we revealed a predominance of non-fermentative gram-negativebacteria, the main representatives of which were microorganisms of the Acinetobacter species in biotopesof children, while on hospital environment objects gram-positive bacteria occupied the main share in themicrobiota structure. It has been established that the microbial landscape in the infectious diseases departmentwas very diverse.
我们研究了越南河内市国立儿科医院感染性疾病科患者上呼吸道环境物和粘膜的微生物群结构。从儿童鼻咽喉粘膜中分离出94株细菌,从科室环境物中分离出69株细菌。所选材料样品的微生物学研究结果显示,定植患者和科室环境对象的微生物群结构存在差异。因此,我们发现非发酵革兰氏阴性菌占主导地位,其主要代表是儿童生物群落中的不动杆菌种微生物,而在医院环境对象中,革兰氏阳性菌在微生物群结构中占据主要份额。已经证实,传染病科的微生物景观非常多样化。
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引用次数: 0
FEATURES OF FORMING ALLERGIC MORBIDITY UNDERINFLUENCE OF ENVIRONMENTAL FACTORS OF AGRARIAN-INDUSTRIALREGION 农工区环境因素影响下过敏性发病的形成特征
Pub Date : 2019-01-01 DOI: 10.35627/2219-5238/310-1-9-13
E. S. Shvetsova
The article notes a steady upward trend in the indicator prevalence of allergic diseases and certainnosological forms among population different age groups of the Lipetsk region during the 2009–2015period under the influence of adverse environmental factors compared with those ones in the RussianFederation and the Central Federal District. A high dependence of allergic diseases from a complexindicator of anthropotechnogenic load, total coefficients of food contamination, drinking water, soil withheavy metals salts and pesticidal load has been established.The population was surveyed according to the international ISAAC program, which confirmed thegeneral trend of the prevalence of allergic diseases in areas with significant anthropotech load.Immunological status study, using modern microbiological methods in children 5–7 years, revealed adecrease in resistance in children of the third group of health and children living in the mostcontaminated areas.
文章指出,与俄罗斯联邦和中央联邦区相比,2009 - 2015年期间,在不利环境因素的影响下,利佩茨克地区不同年龄组人口中过敏性疾病和某些疾病形式的指标患病率稳步上升。过敏性疾病高度依赖于人为负荷、食物污染总系数、饮用水、土壤重金属盐和农药负荷的复杂指标。根据国际ISAAC计划对人群进行了调查,该计划证实了在人类技术负荷较大的地区过敏性疾病流行的总体趋势。利用现代微生物学方法对5-7岁儿童进行的免疫状况研究显示,第三组健康儿童和生活在污染最严重地区的儿童的耐药性有所下降。
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引用次数: 0
HYGIENE FACTORS OF THE AIR ENVIRONMENT AND THEIR ROLE IN THEFORMATION OF CANCER RISK IN HYDROMETALLURGICAL COPPERPRODUCTION 湿法冶金铜生产中空气环境卫生因素及其在癌症风险形成中的作用
Pub Date : 2018-12-01 DOI: 10.35627/2219-5238/2018-309-12-15-18
E. E. Shmakova, G. Lipatov, V. Adrianovskiy, A. A. Samylkin, S. R. Gusel'nikov, O. Gogoleva
Hygienic assessment of working conditions in modern hydrometallurgical copper production has beencarried out, the assessment in formation of carcinogenic risk of the workers employed in ahydrometallurgical complex of copper-containing ores in comparison with pyrometallurgical processeshas been made. It is shown that in copper mining, the main factor causing a carcinogenic risk isinorganic compounds of cadmium and lead. The greatest predictive values of carcinogenic risk formetallurgical shops professions are observed in pyrometallurgical production, rather than inhydrometallurgical production, due to the difference in the equipment used. The main measure to reducethe carcinogenic hazard in obtaining cathode copper by the hydrometallurgical method should be theintroduction of effective ventilation systems.
对现代湿法炼铜作业条件进行了卫生评价,对含铜矿石湿法炼铜作业人员的致癌风险形成进行了评价,并与火法炼铜工艺进行了比较。研究表明,在铜矿开采中,造成致癌风险的主要因素是镉和铅的无机化合物。由于所使用的设备不同,在火法冶金生产中观察到的冶金车间职业致癌风险预测值最高,而不是湿法冶金生产。采用湿法冶金法制备阴极铜,降低其致癌性的主要措施是引入有效的通风系统。
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引用次数: 2
EXPERIENCE IN THEIMPLEMENTATION OF CONTINUOUS INTEGRATED TRAINING SYSTEM FORSPECIALISTS OF MEDICO-PREVENTIVE BUSINESS IN THE SVERDLOVSKREGION 在斯维尔德洛夫斯克州实施医学预防业务专家持续综合培训系统的经验
Pub Date : 2018-12-01 DOI: 10.35627/2219-5238/2019-309-12-5-10
O. Kovtun, S. Kuzmin, O. Dikonskaya, B. I. Nikonov, V. Gurvich, G. Nasybullina, G. Lipatov, A. .. Golubkova, D. Kozlovskikh, S. V. Romanov
The paper presents long-term experience of interaction between practitioners of the State Sanitary andEpidemiological Service (until 2005) and Rospotrebnadzor (since 2005), the institutions of science forRospotrebnadzor, Ural State Medical University in preparing graduates of a medical-preventive profile,starting from pre-university work with schoolchildren to the introduction of modern technologies ofpractice-oriented training of students, specialists post-graduate training of the State Sanitary andEpidemiological Service and Rospotrebnadzor.
该文件介绍了国家卫生和流行病学服务局的从业人员(2005年以前)与俄罗斯国立卫生研究院(2005年以后)、俄罗斯国立卫生研究院、乌拉尔国立医科大学的从业人员在培养医学预防专业毕业生方面的长期互动经验,从大学前与学童的合作到向学生介绍以实践为导向的现代技术培训。国家卫生与流行病学服务局和俄罗斯国家卫生与流行病学服务局的专家研究生培训。
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引用次数: 1
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