Pub Date : 2022-06-16DOI: 10.25016/2541-7487-2022-0-1-74-81
M. V. Sheianov, O. Parinov
Relevance. Hydrogen fluoride is a highly active chemical substance widely used in industry for production of inorganic fluorides, organofluorine compounds, in the processing of aluminum, stainless steel and alloys. The chemical properties of hydrogen fluoride determine its ability to have a destructive effect on the tissues of the human body and high toxicity with local and systemic exposure. Hydrogen fluoride poisoning is severe and difficult to treat. Clarification of the clinical picture and the search for new methods of treating lesions with hydrogen fluoride are of great importance for protecting the health of workers in chemical industries and eliminating the consequences of technogenic accidents.Intention. To consider the features of the observed clinical case of severe damage to the lungs and lower respiratory tract after inhalation exposure to hydrogen fluoride and treatment methods that made it possible to achieve favorable clinical results. Methodology. The article discusses clinically important chemical properties of hydrogen fluoride, the mechanisms and manifestations of characteristic lesions developing in the human body with various routes of exposure. Modern approaches to the treatment of patients exposed to hydrogen fluoride are outlined.Results and Discussion. Inhalation of gas mixtures, even with low concentrations of hydrogen fluoride, can lead to severe inflammatory-necrotic lung damage with interstitial pneumonia (chemical pneumonitis), adult respiratory distress syndrome, and severe respiratory failure. Improvement of clinical condition of the affected person in the observed case was achieved via complex treatment with glucocorticosteroids, antimicrobial agents, calcium gluconate inhalations. A key role in the patient’s treatment was played by long-term replacement of the impaired function of the lungs using extracorporeal membrane oxygenation.Conclusion. In severe forms of acute damage to the lungs and lower respiratory tract as a result of inhaled exposure to hydrogen fluoride, clinical recovery and improvement in the quality of life of the injured can be achieved through complex therapy using glucocorticosteroids, antibacterial agents, specific antidotes (calcium gluconate) and prolonged replacement of the respiratory function via artificial ventilation and extracorporeal membrane oxygenation.
{"title":"Acute lung and lower respiratory tract damage after inhalation exposure to hydrogen fluoride","authors":"M. V. Sheianov, O. Parinov","doi":"10.25016/2541-7487-2022-0-1-74-81","DOIUrl":"https://doi.org/10.25016/2541-7487-2022-0-1-74-81","url":null,"abstract":"Relevance. Hydrogen fluoride is a highly active chemical substance widely used in industry for production of inorganic fluorides, organofluorine compounds, in the processing of aluminum, stainless steel and alloys. The chemical properties of hydrogen fluoride determine its ability to have a destructive effect on the tissues of the human body and high toxicity with local and systemic exposure. Hydrogen fluoride poisoning is severe and difficult to treat. Clarification of the clinical picture and the search for new methods of treating lesions with hydrogen fluoride are of great importance for protecting the health of workers in chemical industries and eliminating the consequences of technogenic accidents.Intention. To consider the features of the observed clinical case of severe damage to the lungs and lower respiratory tract after inhalation exposure to hydrogen fluoride and treatment methods that made it possible to achieve favorable clinical results. Methodology. The article discusses clinically important chemical properties of hydrogen fluoride, the mechanisms and manifestations of characteristic lesions developing in the human body with various routes of exposure. Modern approaches to the treatment of patients exposed to hydrogen fluoride are outlined.Results and Discussion. Inhalation of gas mixtures, even with low concentrations of hydrogen fluoride, can lead to severe inflammatory-necrotic lung damage with interstitial pneumonia (chemical pneumonitis), adult respiratory distress syndrome, and severe respiratory failure. Improvement of clinical condition of the affected person in the observed case was achieved via complex treatment with glucocorticosteroids, antimicrobial agents, calcium gluconate inhalations. A key role in the patient’s treatment was played by long-term replacement of the impaired function of the lungs using extracorporeal membrane oxygenation.Conclusion. In severe forms of acute damage to the lungs and lower respiratory tract as a result of inhaled exposure to hydrogen fluoride, clinical recovery and improvement in the quality of life of the injured can be achieved through complex therapy using glucocorticosteroids, antibacterial agents, specific antidotes (calcium gluconate) and prolonged replacement of the respiratory function via artificial ventilation and extracorporeal membrane oxygenation.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82053702","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 : 2022-06-16DOI: 10.25016/2541-7487-2022-0-1-82-88
V. E. Batov
Relevance. Personal protective equipment plays a leading role in reducing risks of infection and ensuring the safety of medical personnel during the COVID-19 pandemic. However, along with the positive “barrier” effect, personal protective equipment has a negative impact on human ergonomics, thus affecting the functional state and performance. Occupational activities of medical workers are often associated with complex, sometimes time-consuming operations; therefore, decreased functional state when using personal protective equipment can lead to errors and increase the health risks in both staff and patients. Intention is to develop the main directions of preserving occupational performance of medical personnel when using personal protective equipment based on the study of the functional state. Methodology. A sociological survey of 339 medical workers of the “red zone” of military medical organizations was conducted using an original questionnaire. Ergonomic indicators of personal protective equipment were assessed along with its negative influence. Results and Discussion. All the survey participants mentioned negative impact on the functional state and performance when using personal protective equipment. The most frequent complaints included discomfort due to fogging of protective glasses (83 %), as well as damage to the skin from eye protection (82 %), respiratory protection (69 %), skin protection (suit, overalls) (38 %). According to the survey, headaches were statistically significantly associated with wearing personal protective equipment for more than 6 hours per shift (OR 1.66; 95 % CI: 1.07-2.56; p = 0.02), the age over 35 years (OR 2.44; 95 % CI: 1.49-4.00; p = 0.001), body mass index above 25 (OR 1.98; 95 % CI: 1.24-3.15; p = 0.003), overheating of the body (OR 2.27; 95 % CI: 1.41-3.66; p = 0.001). Conclusion. The use of personal protective equipment when providing care to COVID-19 patients has a negative impact on the functional state and reduces the efficiency of medical personnel. Based on the results of the research, the main directions of preventive measures have been developed: selection of high-quality protective equipment, taking into account the anthropometric indicators of employees; ensuring optimal work and rest modes (no more than 4 hours of continuous work in personal protective equipment), monitoring and correction of the functional state of personnel at risk.
{"title":"Assessment of the functional state of military medical personnel when using personal protective equipment during the СOVID-19 pandemic","authors":"V. E. Batov","doi":"10.25016/2541-7487-2022-0-1-82-88","DOIUrl":"https://doi.org/10.25016/2541-7487-2022-0-1-82-88","url":null,"abstract":"Relevance. Personal protective equipment plays a leading role in reducing risks of infection and ensuring the safety of medical personnel during the COVID-19 pandemic. However, along with the positive “barrier” effect, personal protective equipment has a negative impact on human ergonomics, thus affecting the functional state and performance. Occupational activities of medical workers are often associated with complex, sometimes time-consuming operations; therefore, decreased functional state when using personal protective equipment can lead to errors and increase the health risks in both staff and patients. Intention is to develop the main directions of preserving occupational performance of medical personnel when using personal protective equipment based on the study of the functional state. Methodology. A sociological survey of 339 medical workers of the “red zone” of military medical organizations was conducted using an original questionnaire. Ergonomic indicators of personal protective equipment were assessed along with its negative influence. Results and Discussion. All the survey participants mentioned negative impact on the functional state and performance when using personal protective equipment. The most frequent complaints included discomfort due to fogging of protective glasses (83 %), as well as damage to the skin from eye protection (82 %), respiratory protection (69 %), skin protection (suit, overalls) (38 %). According to the survey, headaches were statistically significantly associated with wearing personal protective equipment for more than 6 hours per shift (OR 1.66; 95 % CI: 1.07-2.56; p = 0.02), the age over 35 years (OR 2.44; 95 % CI: 1.49-4.00; p = 0.001), body mass index above 25 (OR 1.98; 95 % CI: 1.24-3.15; p = 0.003), overheating of the body (OR 2.27; 95 % CI: 1.41-3.66; p = 0.001). Conclusion. The use of personal protective equipment when providing care to COVID-19 patients has a negative impact on the functional state and reduces the efficiency of medical personnel. Based on the results of the research, the main directions of preventive measures have been developed: selection of high-quality protective equipment, taking into account the anthropometric indicators of employees; ensuring optimal work and rest modes (no more than 4 hours of continuous work in personal protective equipment), monitoring and correction of the functional state of personnel at risk.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83584276","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 : 2022-06-14DOI: 10.25016/2541-7487-2022-0-1-05-11
A. Birjukov, J. P. Korovkina, E. V. Vasiliev, J. V. Orlov, I. G. Dibirgadzhiev
Relevance. Development of nuclear technologies and their wide application in medicine, power engineering and industry is always associated with health risks both for employees of nuclear facilities and for the population living in the vicinity of such facilities. Adequate assessment of such risks is possible only on the basis of the results of health monitoring of the personnel of potentially hazardous nuclear facilities and the population living in the vicinity of such facilities. One of the topical directions of research within the framework of such monitoring is assessment of specific morbidity and mortality from malignant neoplasms (MN) (C00-C97 according to ICD-10). Intention. To analyze the main medico-statistical indicators of MN-related morbidity and mortality over time among the personnel of nuclear industry and nuclear power plants and the population living near such facilities, as well as the general population of Russia in 2012-2018. Methodology. We analyzed basic medical and statistical indicators of the morbidity among the personnel of potentially hazardous nuclear facilities and the population with MN living in the vicinity of such facilities; the data was obtained from the Federal Center for Information Technologies of Extreme Problems of the Federal Medical and Biological Agency (FMBA) of Russia. The results were compared with MN incidence in Russia using data from P.A. Herzen Moscow Cancer Research Institute, a branch of the National Medical Research Center for Radiology of the Russian Ministry of Health. Results and Discussion. There is an increase in MN primary incidence rate in the medical institutions of the FMBA and the Ministry of Health of Russia. The congruence of the trends is strongly positive and statistically significant (r = 0.932; p < 0.001), which may indicate a unidirectional influence of factors contributing to MN development in patients of FMBA and Russian Ministry of Health institutions. The average annual rates of primary morbidity (354.2 8.9) per 100,000 people, mortality (158.5 ± 4.2) per 100,000 people and one-year mortality (19.6 ± 0.5) % of patients registered in FMBA medical organizations were statistically significantly lower than those in Russia - (398.0 ± 8.5) per 100,000 population, (200.5 ± 0.6) per 100,000 population and (24.0 ± 0.6) %, respectively. The trend of MN-related mortality rate in the Russian population approached a straight horizontal line, i.e. showed a tendency to stability, in patients of FMBA indicators increased. There was a decrease in one-year MN-related mortality rate and an increase in 5-year survival rate in the departments under consideration. Conclusion. The results of the study may become the basis for developing medical and social rehabilitation measures for employees of the enterprises serviced by FMBA medical organizations, as well as for attached contingents. Continuous monitoring and analysis of oncological morbidity on a personal level using registry technologies are
{"title":"Cancer epidemiological situation near nuclear facilities","authors":"A. Birjukov, J. P. Korovkina, E. V. Vasiliev, J. V. Orlov, I. G. Dibirgadzhiev","doi":"10.25016/2541-7487-2022-0-1-05-11","DOIUrl":"https://doi.org/10.25016/2541-7487-2022-0-1-05-11","url":null,"abstract":"Relevance. Development of nuclear technologies and their wide application in medicine, power engineering and industry is always associated with health risks both for employees of nuclear facilities and for the population living in the vicinity of such facilities. Adequate assessment of such risks is possible only on the basis of the results of health monitoring of the personnel of potentially hazardous nuclear facilities and the population living in the vicinity of such facilities. One of the topical directions of research within the framework of such monitoring is assessment of specific morbidity and mortality from malignant neoplasms (MN) (C00-C97 according to ICD-10). Intention. To analyze the main medico-statistical indicators of MN-related morbidity and mortality over time among the personnel of nuclear industry and nuclear power plants and the population living near such facilities, as well as the general population of Russia in 2012-2018. Methodology. We analyzed basic medical and statistical indicators of the morbidity among the personnel of potentially hazardous nuclear facilities and the population with MN living in the vicinity of such facilities; the data was obtained from the Federal Center for Information Technologies of Extreme Problems of the Federal Medical and Biological Agency (FMBA) of Russia. The results were compared with MN incidence in Russia using data from P.A. Herzen Moscow Cancer Research Institute, a branch of the National Medical Research Center for Radiology of the Russian Ministry of Health. Results and Discussion. There is an increase in MN primary incidence rate in the medical institutions of the FMBA and the Ministry of Health of Russia. The congruence of the trends is strongly positive and statistically significant (r = 0.932; p < 0.001), which may indicate a unidirectional influence of factors contributing to MN development in patients of FMBA and Russian Ministry of Health institutions. The average annual rates of primary morbidity (354.2 8.9) per 100,000 people, mortality (158.5 ± 4.2) per 100,000 people and one-year mortality (19.6 ± 0.5) % of patients registered in FMBA medical organizations were statistically significantly lower than those in Russia - (398.0 ± 8.5) per 100,000 population, (200.5 ± 0.6) per 100,000 population and (24.0 ± 0.6) %, respectively. The trend of MN-related mortality rate in the Russian population approached a straight horizontal line, i.e. showed a tendency to stability, in patients of FMBA indicators increased. There was a decrease in one-year MN-related mortality rate and an increase in 5-year survival rate in the departments under consideration. Conclusion. The results of the study may become the basis for developing medical and social rehabilitation measures for employees of the enterprises serviced by FMBA medical organizations, as well as for attached contingents. Continuous monitoring and analysis of oncological morbidity on a personal level using registry technologies are","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74606513","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 : 2022-06-14DOI: 10.25016/2541-7487-2022-0-1-20-32
A. Grebenyuk, P. V. Shibalov
Relevance. The greatest difficulties in emergencies of biological nature arise if health care is provided to significant contingents of persons engaged in work activities outside large settlements and united by common living, food and recreation conditions, for example, shift workers engaged in the implementation of large construction projects. Despite the pandemic of the new coronavirus infection (COVID-19), the construction of large industrial enterprises should continue, which makes the problem of medical support for shift workers extremely urgent. Intention. To analyze the experience of organizing and conducting anti-epidemic and medical evacuation measures during the medical support of personnel engaged in the construction of the Amur Gas Processing Plant (AGPP) in the conditions of the spread of the first wave of a new coronavirus infection (COVID-19). Methodology. The subject of the study was the medical support of shift workers employed in the construction of the AGPP. The total number of employees working on the construction site of the AGPP daily from March to September 2020 ranged from 30,390 to 39,120 people. Citizens of the Russian Federation as well as of foreign countries from near and far abroad worked on a shift basis. All employees lived in dormitories on the territory of temporary shift camps for construction workers, and ate in common canteens. Anti-epidemic and medical evacuation measures were developed and their effectiveness assessed using methods of historical analysis and comparison, systematic and logical analysis, expert assessments, statistical analysis. Results and Discussion. The results of a retrospective analysis of measures for medical support of workers employed in the construction of the AGPP are presented. Starting from 03/28/2020, the following anti-epidemic measures were implemented: disinfection of dormitories, canteens, transport and offices; the use of protective masks and gloves; daily measurement of body temperature; disposable tableware. Since 04/27/2020, there were restrictions on entry and exit from the AGPP; employees lived either in shift camps on the territory of the construction site, or in city dormitories with isolated perimeter (for engineering and technical personnel). After detecting the first case of COVID-19 infection, isolation of COVID-19 cases with contact tracing took place. From 29.05 to 06.06.2020, polymerase chain reaction (PCR) and immunofluorescence analysis were performed in 30,445 workers. As a result, a quarantine regime in shift camps was introduced, and medical prophylaxis was prescribed to their inhabitants in accordance with the Temporary Methodological Recommendations “Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19)”, version 7.0 of 03.06.2020. During repeated mass testing from 12.06 to 19.06.2020, 95.9% of primary SARS-CoV-2-positive employees became negative after treatment with hydroxychloroquine and recombinant interferon-alpha, thus sugges
{"title":"Experience in conducting anti-epidemic and medical evacuation measures at a large construction site in the conditions of the spread of the first wave of a new coronavirus infection (COVID-19)","authors":"A. Grebenyuk, P. V. Shibalov","doi":"10.25016/2541-7487-2022-0-1-20-32","DOIUrl":"https://doi.org/10.25016/2541-7487-2022-0-1-20-32","url":null,"abstract":"Relevance. The greatest difficulties in emergencies of biological nature arise if health care is provided to significant contingents of persons engaged in work activities outside large settlements and united by common living, food and recreation conditions, for example, shift workers engaged in the implementation of large construction projects. Despite the pandemic of the new coronavirus infection (COVID-19), the construction of large industrial enterprises should continue, which makes the problem of medical support for shift workers extremely urgent. Intention. To analyze the experience of organizing and conducting anti-epidemic and medical evacuation measures during the medical support of personnel engaged in the construction of the Amur Gas Processing Plant (AGPP) in the conditions of the spread of the first wave of a new coronavirus infection (COVID-19). Methodology. The subject of the study was the medical support of shift workers employed in the construction of the AGPP. The total number of employees working on the construction site of the AGPP daily from March to September 2020 ranged from 30,390 to 39,120 people. Citizens of the Russian Federation as well as of foreign countries from near and far abroad worked on a shift basis. All employees lived in dormitories on the territory of temporary shift camps for construction workers, and ate in common canteens. Anti-epidemic and medical evacuation measures were developed and their effectiveness assessed using methods of historical analysis and comparison, systematic and logical analysis, expert assessments, statistical analysis. Results and Discussion. The results of a retrospective analysis of measures for medical support of workers employed in the construction of the AGPP are presented. Starting from 03/28/2020, the following anti-epidemic measures were implemented: disinfection of dormitories, canteens, transport and offices; the use of protective masks and gloves; daily measurement of body temperature; disposable tableware. Since 04/27/2020, there were restrictions on entry and exit from the AGPP; employees lived either in shift camps on the territory of the construction site, or in city dormitories with isolated perimeter (for engineering and technical personnel). After detecting the first case of COVID-19 infection, isolation of COVID-19 cases with contact tracing took place. From 29.05 to 06.06.2020, polymerase chain reaction (PCR) and immunofluorescence analysis were performed in 30,445 workers. As a result, a quarantine regime in shift camps was introduced, and medical prophylaxis was prescribed to their inhabitants in accordance with the Temporary Methodological Recommendations “Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19)”, version 7.0 of 03.06.2020. During repeated mass testing from 12.06 to 19.06.2020, 95.9% of primary SARS-CoV-2-positive employees became negative after treatment with hydroxychloroquine and recombinant interferon-alpha, thus sugges","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78930357","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 : 2022-06-14DOI: 10.25016/2541-7487-2022-0-1-12-19
E. V. Goloborodko, Mikhail A. Bragin, G. G. Yerofeyev, А. V. Suhinin
Relevance. In the context of the ongoing pandemic of new coronavirus infection, the development and implementation of new methods for medical (pulmonary) rehabilitation of patients is an urgent scientific and practical task. Intention. To assess the effectiveness and substantiate the possibility of using a new physiotherapeutic technology based on bioacoustic stimulation of the respiratory system with high-intensity low-frequency sounds in the comprehensive medical rehabilitation of patients with coronavirus pneumonia. Methodology. A randomized controlled open parallel clinical trial of 28 patients was conducted to assess effectiveness of medical rehabilitation after coronavirus pneumonia. Results and Discussion. Changes in external respiration indicators, psychological status and severity of post-traumatic stress disorders statistically significantly differed in the intervention and control groups before and after the course of rehabilitation. Therefore, bioacoustic stimulation of the respiratory system as part of comprehensive medical rehabilitation program after coronavirus pneumonia significantly increases its effectiveness. Conclusion. Bioacoustic stimulation of the respiratory system with high-intensity low-frequency sounds can be recommended as an effective physical method for inclusion in the comprehensive medical rehabilitation program for patients recovered from coronavirus pneumonia.
{"title":"Evaluation of the effectiveness of a new physiotherapy technology in the comprehensive medical rehabilitation program for patients recovered from coronavirus pneumonia","authors":"E. V. Goloborodko, Mikhail A. Bragin, G. G. Yerofeyev, А. V. Suhinin","doi":"10.25016/2541-7487-2022-0-1-12-19","DOIUrl":"https://doi.org/10.25016/2541-7487-2022-0-1-12-19","url":null,"abstract":"Relevance. In the context of the ongoing pandemic of new coronavirus infection, the development and implementation of new methods for medical (pulmonary) rehabilitation of patients is an urgent scientific and practical task. Intention. To assess the effectiveness and substantiate the possibility of using a new physiotherapeutic technology based on bioacoustic stimulation of the respiratory system with high-intensity low-frequency sounds in the comprehensive medical rehabilitation of patients with coronavirus pneumonia. Methodology. A randomized controlled open parallel clinical trial of 28 patients was conducted to assess effectiveness of medical rehabilitation after coronavirus pneumonia. Results and Discussion. Changes in external respiration indicators, psychological status and severity of post-traumatic stress disorders statistically significantly differed in the intervention and control groups before and after the course of rehabilitation. Therefore, bioacoustic stimulation of the respiratory system as part of comprehensive medical rehabilitation program after coronavirus pneumonia significantly increases its effectiveness. Conclusion. Bioacoustic stimulation of the respiratory system with high-intensity low-frequency sounds can be recommended as an effective physical method for inclusion in the comprehensive medical rehabilitation program for patients recovered from coronavirus pneumonia.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"188 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83450799","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 : 2022-06-14DOI: 10.25016/2541-7487-2022-0-1-41-51
V. Evdokimov, E. V. Bobrinev, A. A. Kondashov, Н. Pankratov, A. A. Vetoshkin, P. V. Loktionov
Relevance. Occupational injuries - a set of injuries received by workers in the workplace and caused by non-compliance with working conditions for a certain period of time, for example, for 1 year. Industrial injuries - a controlled process and an indicator of occupational safety. Intention. To analyze occupational injuries among the personnel of the Federal Fire Service (FFS) of the EMERCOM of Russia by category for 15 years from 2006 to 2020. Methodology. The injury rates for personnel (with special ranks and employees) of the FFS of the EMERCOM of Russia were obtained from the statistical data bank on morbidity, injuries, disability and death of personnel of the EMERCOM of Russia units during the performance of their duties. Injury rates per 10,000 firefighters were calculated. The received injuries were correlated with the categories of personnel (operational personnel, preventive, technical and managerial personnel) and activities (fire fighting, training / sports and everyday activities). The circumstances of receiving injuries were generalized by causes: technical, organizational, psycho-physiological and dangerous fire-related factors. The results were checked for normality of distribution. Arithmetic mean values and their errors are presented. The dynamics of receiving injuries was assessed using time series and 2nd order polynomial trends. Consistency (congruence) of the studied trends was assessed using Pearson's correlation coefficients. Results and Discussion. There is a decrease in occupational injuries in all categories of personnel of the EMERCOM of Russia FFS. Average annual level of occupational injuries in 2006-2020 was (14.66 ± 2.01) per 10,000 firefighters. Russian workers overall tended to have higher levels (17.87 ± 1.56) per 10,000 Russian workforce (nonsignificant difference). The consistency of the trends is strong positive and statistically significant (r = 0.833; p < 0.001), which may indicate the influence of unidirectional factors in recieving injuries. The proportion of injuries among operational personnel was 67.1% of the structure of all occupational injuries, the average annual injury rate was (14.47 ± 2.06) per 10 thousand firefighters; among preventive personnel - 6.6 % and (12.33 ? 2.33) per 10 thousand, respectively; among technical personnel - 6.5 % and (10.86 ± 1.58) per 10 thousand, respectively; among managerial personnel - 19.8 % and (18.65 ± 2.49) per 10 thousand firefighters, respectively. The highest level of occupational injuries and the proportion of injuries among the operational staff were due to psychophysiological causes during daily activities - (4.31 ± 0.86) per 10 thousand firefighters and 19.5 % of the structure of all injuries and fire hazards during fire extinguishing - (4.03 ± 0.45) per 10 thousand and 18.2 %, respectively. For preventive, technical and managerial personnel, the leading causes of injuries were psychophysiological factors during daily activities - (7.21 ± 1.43) per 10 thou
{"title":"Occupational injuries in categories of personnel of Federal Fire Service of EMERCOM of Russia (2006–2020)","authors":"V. Evdokimov, E. V. Bobrinev, A. A. Kondashov, Н. Pankratov, A. A. Vetoshkin, P. V. Loktionov","doi":"10.25016/2541-7487-2022-0-1-41-51","DOIUrl":"https://doi.org/10.25016/2541-7487-2022-0-1-41-51","url":null,"abstract":"Relevance. Occupational injuries - a set of injuries received by workers in the workplace and caused by non-compliance with working conditions for a certain period of time, for example, for 1 year. Industrial injuries - a controlled process and an indicator of occupational safety. Intention. To analyze occupational injuries among the personnel of the Federal Fire Service (FFS) of the EMERCOM of Russia by category for 15 years from 2006 to 2020. Methodology. The injury rates for personnel (with special ranks and employees) of the FFS of the EMERCOM of Russia were obtained from the statistical data bank on morbidity, injuries, disability and death of personnel of the EMERCOM of Russia units during the performance of their duties. Injury rates per 10,000 firefighters were calculated. The received injuries were correlated with the categories of personnel (operational personnel, preventive, technical and managerial personnel) and activities (fire fighting, training / sports and everyday activities). The circumstances of receiving injuries were generalized by causes: technical, organizational, psycho-physiological and dangerous fire-related factors. The results were checked for normality of distribution. Arithmetic mean values and their errors are presented. The dynamics of receiving injuries was assessed using time series and 2nd order polynomial trends. Consistency (congruence) of the studied trends was assessed using Pearson's correlation coefficients. Results and Discussion. There is a decrease in occupational injuries in all categories of personnel of the EMERCOM of Russia FFS. Average annual level of occupational injuries in 2006-2020 was (14.66 ± 2.01) per 10,000 firefighters. Russian workers overall tended to have higher levels (17.87 ± 1.56) per 10,000 Russian workforce (nonsignificant difference). The consistency of the trends is strong positive and statistically significant (r = 0.833; p < 0.001), which may indicate the influence of unidirectional factors in recieving injuries. The proportion of injuries among operational personnel was 67.1% of the structure of all occupational injuries, the average annual injury rate was (14.47 ± 2.06) per 10 thousand firefighters; among preventive personnel - 6.6 % and (12.33 ? 2.33) per 10 thousand, respectively; among technical personnel - 6.5 % and (10.86 ± 1.58) per 10 thousand, respectively; among managerial personnel - 19.8 % and (18.65 ± 2.49) per 10 thousand firefighters, respectively. The highest level of occupational injuries and the proportion of injuries among the operational staff were due to psychophysiological causes during daily activities - (4.31 ± 0.86) per 10 thousand firefighters and 19.5 % of the structure of all injuries and fire hazards during fire extinguishing - (4.03 ± 0.45) per 10 thousand and 18.2 %, respectively. For preventive, technical and managerial personnel, the leading causes of injuries were psychophysiological factors during daily activities - (7.21 ± 1.43) per 10 thou","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"64 10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89796021","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 : 2022-06-14DOI: 10.25016/2541-7487-2022-0-1-33-40
S. A. Gumenyuk, S. Aleksanin, V. Yarema, A. M. Schikota, S. M. Zeynieva
Relevance. Mortality from accidents, poisoning, acute diseases and injuries in Russia and the world remains high. For a number of urgent conditions, fast medical evacuation to a medical facility and prompt specialized care are critical. In a metropolis, there are a number of features that limit the work of ambulance ground teams (AGT). Intention. To analyze medical evacuation of patients to a hospital in a metropolis (the city of Moscow as an example) using ground transportation, with its shortcomings and limitations. Methodology. Patterns prehospital and early hospital mortality of patients in need of emergency medical care were analyzed, main reasons for the fastest possible transportation to a specialized hospital were determined. The statistics of road traffic accidents involving ambulances in Moscow for 2019-2020 were analyzed. Average traffic loads in Moscow for the period of 2017-2019 were estimated. Cases of rendering emergency medical care to Muscovites outside the city and in places without a road transport system were analyzed. Results and Discussion. The main causes of death before arrival of ambulance teams are blood loss of various origins (28 %), burn shock (6 %), poisoning with various substances (31 %), traumatic brain injury and stroke (12 %), acute coronary syndrome (7 %) and a number of other conditions. If resuscitation measures are required, risks of death increase by 10.7 % for every 10 minutes of waiting for an ambulance. One-day outcomes were influenced by time to hospital admission for cardiovascular diseases (26.9-30.1 % mortality rate ); diseases and injuries of the central nervous system, i.e. stroke, head injury (25.2-25.5 % mortality rate); internal bleeding (12.6-15.2 % mortality rate). In Moscow in 2019, an average of 2.8 ambulance vehicles got into road accidents daily. This probability amounted to 2.78 x10-3 and was 2.5 times higher than for other vehicles (1.11 x10-3). The main restrictions for ground transportation in a metropolis are as follows: unpredictable traffic conditions increase time to hospital admission, difficulty transporting patients from remote areas, including off-road locations. Conclusion. When urgent patients are admitted to a specialized hospital by road in a metropolis, there are a number of restrictions that must be taken into account when organizing emergency medical care. The main potential risks of increased time to hospital admission in Moscow is unpredictable road traffic.
{"title":"Analysis of risks and restrictions in hospitalization of urgent patients by ground transport","authors":"S. A. Gumenyuk, S. Aleksanin, V. Yarema, A. M. Schikota, S. M. Zeynieva","doi":"10.25016/2541-7487-2022-0-1-33-40","DOIUrl":"https://doi.org/10.25016/2541-7487-2022-0-1-33-40","url":null,"abstract":"Relevance. Mortality from accidents, poisoning, acute diseases and injuries in Russia and the world remains high. For a number of urgent conditions, fast medical evacuation to a medical facility and prompt specialized care are critical. In a metropolis, there are a number of features that limit the work of ambulance ground teams (AGT). Intention. To analyze medical evacuation of patients to a hospital in a metropolis (the city of Moscow as an example) using ground transportation, with its shortcomings and limitations. Methodology. Patterns prehospital and early hospital mortality of patients in need of emergency medical care were analyzed, main reasons for the fastest possible transportation to a specialized hospital were determined. The statistics of road traffic accidents involving ambulances in Moscow for 2019-2020 were analyzed. Average traffic loads in Moscow for the period of 2017-2019 were estimated. Cases of rendering emergency medical care to Muscovites outside the city and in places without a road transport system were analyzed. Results and Discussion. The main causes of death before arrival of ambulance teams are blood loss of various origins (28 %), burn shock (6 %), poisoning with various substances (31 %), traumatic brain injury and stroke (12 %), acute coronary syndrome (7 %) and a number of other conditions. If resuscitation measures are required, risks of death increase by 10.7 % for every 10 minutes of waiting for an ambulance. One-day outcomes were influenced by time to hospital admission for cardiovascular diseases (26.9-30.1 % mortality rate ); diseases and injuries of the central nervous system, i.e. stroke, head injury (25.2-25.5 % mortality rate); internal bleeding (12.6-15.2 % mortality rate). In Moscow in 2019, an average of 2.8 ambulance vehicles got into road accidents daily. This probability amounted to 2.78 x10-3 and was 2.5 times higher than for other vehicles (1.11 x10-3). The main restrictions for ground transportation in a metropolis are as follows: unpredictable traffic conditions increase time to hospital admission, difficulty transporting patients from remote areas, including off-road locations. Conclusion. When urgent patients are admitted to a specialized hospital by road in a metropolis, there are a number of restrictions that must be taken into account when organizing emergency medical care. The main potential risks of increased time to hospital admission in Moscow is unpredictable road traffic.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89315351","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 : 2021-09-10DOI: 10.25016/2541-7487-2021-0-3-91-100
I. Ushakov, A. Bogomolov
Relevance. Physiologically adequate and up-to-date methods are needed for diagnosing functional states in humans during occupational activities.Intention – Analysis of priority studies of domestic physiological schools in the field of diagnostics of human functional states and identification of priority studies, which are associated with the expected progress in the subject area.Methodology. On the basis of a systematic approach, there were reviewed fundamental studies of Russian physiological schools defining key approaches to the diagnosis of human functional states: from the foundations of the natural science research of human states in the process of activity, laid down by I.M. Sechenov, to the achievements of the modern Russian physiological school, one of the leaders of which is Academician A.D. Nozdrachev.Results and Discussion. The features of physiological diagnostics of functional states are shown, an important role of complex interdisciplinary approaches for solving problems of diagnostics based on the results of physiological studies is emphasized. The emphasis is made on the fact that methods for diagnosing human conditions in the process of activity should be guided by the dominant corresponding to each functional state, and take into account that various functional systems of the body are mobilized to ensure this state, with individually specific degree of their involvement in the formation of a functional state. At the same time, when diagnosing functional states it is necessary to take into account complex impacts of occupational factors and use approaches specific for socio-professional groups with the fullest possible consideration of their occupational tasks.Conclusion. It has been shown that methods for diagnosing functional states require development and improvement based on the results of fundamental physiological research, which determine approaches to the diagnosis of human states in the process of activity.
{"title":"Diagnostics of human functional states in priority studies of Russian physiological schools","authors":"I. Ushakov, A. Bogomolov","doi":"10.25016/2541-7487-2021-0-3-91-100","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-3-91-100","url":null,"abstract":"Relevance. Physiologically adequate and up-to-date methods are needed for diagnosing functional states in humans during occupational activities.Intention – Analysis of priority studies of domestic physiological schools in the field of diagnostics of human functional states and identification of priority studies, which are associated with the expected progress in the subject area.Methodology. On the basis of a systematic approach, there were reviewed fundamental studies of Russian physiological schools defining key approaches to the diagnosis of human functional states: from the foundations of the natural science research of human states in the process of activity, laid down by I.M. Sechenov, to the achievements of the modern Russian physiological school, one of the leaders of which is Academician A.D. Nozdrachev.Results and Discussion. The features of physiological diagnostics of functional states are shown, an important role of complex interdisciplinary approaches for solving problems of diagnostics based on the results of physiological studies is emphasized. The emphasis is made on the fact that methods for diagnosing human conditions in the process of activity should be guided by the dominant corresponding to each functional state, and take into account that various functional systems of the body are mobilized to ensure this state, with individually specific degree of their involvement in the formation of a functional state. At the same time, when diagnosing functional states it is necessary to take into account complex impacts of occupational factors and use approaches specific for socio-professional groups with the fullest possible consideration of their occupational tasks.Conclusion. It has been shown that methods for diagnosing functional states require development and improvement based on the results of fundamental physiological research, which determine approaches to the diagnosis of human states in the process of activity.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86691245","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 : 2021-09-10DOI: 10.25016/2541-7487-2021-0-3-83-90
M. Kuznetsov, S. M. Logatkin, V. Dvorjanchikov
Relevance. The introduction of special acoustic devices into the security system necessitates a medical and biological assessment of the impact of acoustic signals.Intention – To analyze domestic and foreign literature on the history of acoustic weapons and their medical and biological effects, as well as to study current ideas about sound-induced damage to operators of this equipment and exposed persons.Methodology. In this paper, we analyzed domestic and foreign publications (monographs, articles) about creation and use of special acoustic devices as non-lethal acoustic weapons. Besides, regulatory documents on safe levels of noise exposure were analyzed. PubMed, Russian Science Citation Index, Сonsultant plus database were also searched.Results and Discussion. Non-lethal acoustic weapons were developed and their effects studied mainly by foreign researchers (USA, UK). Sources of special acoustic signals (sound generators, cannons, grenades) are mainly used to disperse crowds of people and control illegal actions against law-enforcement officers. Such weapons are widely used by foreign police and military personnel (USA, Georgia, Ukraine etc.). Only a few publications in Russian describe special acoustic effects on the hearing organ of animals and humans.Conclusion. Safety assessment of acoustic effects of special devices is very important and requires further study in relation to the national legislation.
{"title":"Special acoustic devices of law enforcement agencies: a short history, medical and biological effects on the hearing organ","authors":"M. Kuznetsov, S. M. Logatkin, V. Dvorjanchikov","doi":"10.25016/2541-7487-2021-0-3-83-90","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-3-83-90","url":null,"abstract":"Relevance. The introduction of special acoustic devices into the security system necessitates a medical and biological assessment of the impact of acoustic signals.Intention – To analyze domestic and foreign literature on the history of acoustic weapons and their medical and biological effects, as well as to study current ideas about sound-induced damage to operators of this equipment and exposed persons.Methodology. In this paper, we analyzed domestic and foreign publications (monographs, articles) about creation and use of special acoustic devices as non-lethal acoustic weapons. Besides, regulatory documents on safe levels of noise exposure were analyzed. PubMed, Russian Science Citation Index, Сonsultant plus database were also searched.Results and Discussion. Non-lethal acoustic weapons were developed and their effects studied mainly by foreign researchers (USA, UK). Sources of special acoustic signals (sound generators, cannons, grenades) are mainly used to disperse crowds of people and control illegal actions against law-enforcement officers. Such weapons are widely used by foreign police and military personnel (USA, Georgia, Ukraine etc.). Only a few publications in Russian describe special acoustic effects on the hearing organ of animals and humans.Conclusion. Safety assessment of acoustic effects of special devices is very important and requires further study in relation to the national legislation.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86936921","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 : 2021-09-10DOI: 10.25016/2541-7487-2021-0-3-43-58
V. Evdokimov, D. A. Chernov, P. P. Sivashchenko, A. A. Vetoshkin, N. Mukhina
Relevance. Traumatism in military personnel is defined as injuries and their consequences occurring over a specified period of time, usually over a year. Trauma rates in the Armed Forces (AF) are important for occupational safety.Intention: To compare trauma rates in officers of the AF of Russia and Belarus over 18 years (2003–2020).Methodology. Medical reports on the state of health of personnel and activities of the medical service were selectively analysed according to Form 3 / MED from those military units where no less than 80% of the total number of officers of the AF of Russia and Belarus served. Blocks of injuries are consistent with Chapter XIX «Injuries, poisoning and certain other consequences of external causes» of the International Statistical Classification of Diseases and Problems Related to Health, 10th revision (ICD-10). Injuries were calculated per 1000 officers (‰), mortality - per 100 thousand officers.Results and Discussion. Among officers of the Russian AF and Belarusian AF in 2003–2020, there were observed average annual rates of injuries (17.25 ± 1.33) and (13.37 ± 1.43) ‰, respectively; hospitalizations with injuries (10.68 ± 0.64) and (7.13 ± 0.81) ‰ (p < 0.01); work days lost (344.4 ± 26.4) and (299.9 ± 25.6) ‰; dismissal rates (0.356 ± 0.068) and (0.118 ± 0.022) ‰; and injury-related mortality (47.24 ± 3.71) and (33.37 ± 5.40) (p < 0.05) per 100 thousand officers of the Russian AF and Belarusian AF, respectively. The congruence (consistency) of trends for injuries, hospitalizations and work days lost among officers of the AF of Russia and Belarus was considered positive and strong, while mortality trends were positively and moderately consistent, thus indicating effects of similar (unidirectional) military occupational factors. Polynomial trends in the dynamics of injuries, hospitalizations, work days lost and mortality among officers of the AF of Russia and Belarus with high determination coefficients showed a decrease. Injuries to the head (Block 1 according to ICD-10), injuries to the hip and lower limbs (Blocks 8-10), injuries involving multiple body regions (Block 11), and injuries to the shoulder girdle and upper limbs (Blocks 5-7) were of high military epidemiological significance for officers of the AF of Russia and Belarus. In addition, sequelae of injuries, of poisoning and of other consequences of external causes (Block 22) turned out to be significant for the Russian AF officers, and injuries to the thorax (Block 3) were significant for the Belarusian AF officers. The above blocks accounted for 88.6 and 85.5% of assessed military epidemiological significance among Russian and Belarusian AF officers, respectively.Conclusion. Traumatism can be managed and is not limited to medical issues. Various military professionals should be actively involved in the analysis of the causal relationships of injuries and their prevention. For example, among officers of the AF of Russia and Belarus injuries often occur during
{"title":"Analysis of traumatism in officers of the Armed Forces of the Russian Federation and the Republic of Belarus (2003–2020)","authors":"V. Evdokimov, D. A. Chernov, P. P. Sivashchenko, A. A. Vetoshkin, N. Mukhina","doi":"10.25016/2541-7487-2021-0-3-43-58","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-3-43-58","url":null,"abstract":"Relevance. Traumatism in military personnel is defined as injuries and their consequences occurring over a specified period of time, usually over a year. Trauma rates in the Armed Forces (AF) are important for occupational safety.Intention: To compare trauma rates in officers of the AF of Russia and Belarus over 18 years (2003–2020).Methodology. Medical reports on the state of health of personnel and activities of the medical service were selectively analysed according to Form 3 / MED from those military units where no less than 80% of the total number of officers of the AF of Russia and Belarus served. Blocks of injuries are consistent with Chapter XIX «Injuries, poisoning and certain other consequences of external causes» of the International Statistical Classification of Diseases and Problems Related to Health, 10th revision (ICD-10). Injuries were calculated per 1000 officers (‰), mortality - per 100 thousand officers.Results and Discussion. Among officers of the Russian AF and Belarusian AF in 2003–2020, there were observed average annual rates of injuries (17.25 ± 1.33) and (13.37 ± 1.43) ‰, respectively; hospitalizations with injuries (10.68 ± 0.64) and (7.13 ± 0.81) ‰ (p < 0.01); work days lost (344.4 ± 26.4) and (299.9 ± 25.6) ‰; dismissal rates (0.356 ± 0.068) and (0.118 ± 0.022) ‰; and injury-related mortality (47.24 ± 3.71) and (33.37 ± 5.40) (p < 0.05) per 100 thousand officers of the Russian AF and Belarusian AF, respectively. The congruence (consistency) of trends for injuries, hospitalizations and work days lost among officers of the AF of Russia and Belarus was considered positive and strong, while mortality trends were positively and moderately consistent, thus indicating effects of similar (unidirectional) military occupational factors. Polynomial trends in the dynamics of injuries, hospitalizations, work days lost and mortality among officers of the AF of Russia and Belarus with high determination coefficients showed a decrease. Injuries to the head (Block 1 according to ICD-10), injuries to the hip and lower limbs (Blocks 8-10), injuries involving multiple body regions (Block 11), and injuries to the shoulder girdle and upper limbs (Blocks 5-7) were of high military epidemiological significance for officers of the AF of Russia and Belarus. In addition, sequelae of injuries, of poisoning and of other consequences of external causes (Block 22) turned out to be significant for the Russian AF officers, and injuries to the thorax (Block 3) were significant for the Belarusian AF officers. The above blocks accounted for 88.6 and 85.5% of assessed military epidemiological significance among Russian and Belarusian AF officers, respectively.Conclusion. Traumatism can be managed and is not limited to medical issues. Various military professionals should be actively involved in the analysis of the causal relationships of injuries and their prevention. For example, among officers of the AF of Russia and Belarus injuries often occur during","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84719213","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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