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PERFORMANCE OF MANAGEMENT OF THE HEALTH SYSTEM (ON THE EXAMPLE OF THE ARKHANGELSK REGION) 卫生系统管理绩效(以阿尔汉格尔斯克地区为例)
Q3 Social Sciences Pub Date : 2023-03-23 DOI: 10.17816/humeco121859
K. Shelygin, T. Ushakova, N. V. Zykova, L. I. Lozhkina, Valentina A. Mikityuk
BACKGROUND:Currently, health care occupies an exceptional place in a socially oriented economy. To assess the effective functioning of the health care system, it is necessary to constantlymonitor performance indicators that allow you to determine the level of saving the health of the population. AIM:Determine the degree of effectiveness of health system management based on a comparative analysis of certain target indicators with their actual values. MATERIALS AND METHODS:An analysis of the indicators contained in the State program of the Arkhangelsk region "Health care development in the Arkhangelsk region" was carried out. The following parameters were chosen as targets: life expectancy at birth; maternal mortality per 1000 live births; infant mortality per 1000 live births; total fertility rate; number of doctors per 10000 population; number of average medical personnel per one doctor. Analysis period: 2010-2020. The study is retrospective, descriptive, not randomized. To calculate the private and integral indicators of regional management performance we used the method proposed by A.V. Pepelyaeva and E.A. Tretiakova. The analysis of dynamic series for the presence of anomalous values (outliers) was carried out by the Irwin method. RESULTS:The main indicators that ensure the level of performance are maternal mortality and availability of doctors. The availability of doctors per 10,000 population was significantly higher than the target indicators over the entire time period by an average of 32.8%. The target indicators of maternal mortality were lower than the actual ones on average by 50.1%, which seems to be due to overestimation of the target indicator. CONCLUSION:Target indicators of health care system performance tend to overestimate against the background of the lack of a clearly defined methodological apparatus for their calculation, which, in most cases, leads to a mismatch between their dynamics and the dynamics of actual indicators, increasing the calculated level of health care system management performance.
背景:目前,卫生保健在社会导向型经济中占有特殊的地位。为了评估卫生保健系统的有效运作,有必要不断监测绩效指标,使您能够确定挽救人口健康的水平。目的:通过对某些目标指标与实际值的对比分析,确定卫生系统管理的有效性程度。材料和方法:对阿尔汉格尔斯克地区国家方案“阿尔汉格尔斯克地区的卫生保健发展”所载指标进行了分析。选择下列参数作为目标:出生时预期寿命;每1000例活产的产妇死亡率;每千名活产婴儿死亡率;总生育率;每万人口医生人数;每一名医生的平均医务人员人数。分析期:2010-2020年。该研究是回顾性的,描述性的,不是随机的。为了计算区域管理绩效的私人和整体指标,我们采用了A.V. Pepelyaeva和E.A. Tretiakova的方法。采用欧文方法对动态序列进行异常值(异常值)的分析。结果:孕产妇死亡率和医生可获得性是保证绩效水平的主要指标。每万人口的医生可获得率在整个时间段内显著高于目标指标,平均高出32.8%。产妇死亡率目标指标比实际指标平均低50.1%,这似乎是由于对目标指标的高估。结论:在缺乏明确定义的计算方法的背景下,卫生保健系统绩效目标指标容易高估,在大多数情况下,导致其动态与实际指标动态不匹配,提高了卫生保健系统管理绩效的计算水平。
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引用次数: 1
Geographical and mathematical corrections in the analysis of time series in regions with a modified photoperiod 修正光周期区域时间序列分析中的地理和数学校正
Q3 Social Sciences Pub Date : 2023-03-19 DOI: 10.17816/humeco117532
O. Ragozin, Pavel B Tatarinzev, A. Gudkov, I. Pogonysheva, Elena Yu. Shalamova, D. A. Pogonyshev, Anvar Beisembaev
Resume. The purpose of the study is to develop mathematical and geographical corrections in the analysis of time series. Materials and methods. The paper uses the results of a long-term analysis of the physiological and demographic indicators of the population of Khanty-Mansiysk and other regions of Russia. Results. For standardization and ranking of inter-seasonal, interregional studies (physiology of movements, shift work) in chronophysiological format, we propose the use of the calculated "photoperiodic latitudinal coefficient". To improve the accuracy of the results, we propose the use of the "signal noise coefficient" in the interpretation of the results, an assessment of the "degree of polyrhythmicity" and the "rhythm instability index" in the presence of "insertion" or "quantized" rhythms.
重新开始本研究的目的是发展时间序列分析中的数学和地理校正。材料和方法。本文采用了对汉特-曼西斯克和俄罗斯其他地区人口的生理和人口指标的长期分析结果。结果。为了标准化和排序跨季节、跨区域的研究(运动生理学、轮班工作)的时间生理格式,我们建议使用计算的“光周期纬度系数”。为了提高结果的准确性,我们建议在解释结果时使用“信号噪声系数”,在存在“插入”或“量化”节奏时评估“多节奏度”和“节奏不稳定指数”。
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引用次数: 0
Changes in the concentrations of brain natriuretic peptide (Nt-pro-BNP) in the blood in the regulation of hemodynamic reactions in practically healthy people living in the Arctic 生活在北极地区实际健康人群血液中脑钠肽(Nt-pro-BNP)浓度的变化在血液动力学反应中的调节作用
Q3 Social Sciences Pub Date : 2023-03-13 DOI: 10.17816/humeco120042
L. Dobrodeeva, Samodova Samodova, S. N. Balashova, K. O. Pashinskaya
Introduction: Numerous studies have proven the relationship between the content of brain natriuretic peptide (BNP) in the blood and the problems of cardiovascular insufficiency.Aim: To study the role of changes in Nt-pro-BNP concentrations in the blood in the regulation of hemodynamic reactions in practically adults living and working in the Arctic. Materials and methods. 111 adults (46-55 years old) of practically healthy persons living and working on the Svalbard peninsula, as well as in the villages of Revda and Lovozero of the Murmansk region, including 66 women and 45 men, were examined. The comparison group included 118 healthy adults born and living in the Primorsky district of the Arkhangelsk region, 59 women and 59 men aged 46-55 years.The hemogram in peripheral venous blood, the content of lymphocytes with CD3, CD4, CD8, CD10, CD16, CD19, CD23, CD25, CD71 phenotypes were studied by indirect immunoperoxidase reaction (Sorbent, Moscow) and flow cytometry (Beckman Coulter Immunotech, France); concentrations of Nt-pro-BNP, endothelin-1, total NO, endogenous NO2, nitrate NO3 (RnDSystems, USA), cortisol, norepinephrine, epinephrine (Bender Medsystems, Austria) using enzyme immunoassay. The results are presented as the arithmetic mean and the error of the mean (Mm). For comparison between groups, an independent sample t-test or a nonparametric Mann-Whitney U-test was used, depending on the distribution.Results: In people living in the Arctic and territories equated to the regions of the Far North, the content of the precursor of natriuretic peptide in the venous peripheral blood is higher. Elevated concentrations of Nt-pro-BNP in the blood of Arctic residents are associated with simultaneously higher levels of norepinephrine and cortisol against the background of less pronounced concentrations of adrenaline and endothelin-1, as well as the redistribution of lymphocytes and monocytes from the circulating pool to the marginal one. The established features of hemodynamic reaction regulation are more pronounced in adult Arctic residents and women.Conclusion: The effect of natriuretic peptide is associated with simultaneous activation of the secretion of norepinephrine and cortisol and constitutes a risk of disruption of the mechanisms for maintaining the osmolarity of the internal environment of the body in a very narrow range.
大量研究证实了血液中脑利钠肽(BNP)含量与心血管功能不全的关系。目的:研究在北极地区实际生活和工作的成年人血液中Nt-pro-BNP浓度的变化在血液动力学反应中的调节作用。材料和方法。对111名在斯瓦尔巴半岛以及摩尔曼斯克地区Revda和Lovozero村生活和工作的实际健康的成年人(46-55岁)进行了检查,其中包括66名妇女和45名男子。对照组包括118名在阿尔汉格尔斯克州滨海边疆区出生和生活的健康成年人,59名女性和59名男性,年龄在46-55岁之间。采用间接免疫过氧化物酶反应(Sorbent,莫斯科)和流式细胞术(Beckman Coulter Immunotech,法国)检测外周血静脉血血象和CD3、CD4、CD8、CD10、CD16、CD19、CD23、CD25、CD71表型淋巴细胞的含量;利用酶免疫分析法检测Nt-pro-BNP、内皮素-1、总NO、内源性NO2、硝酸盐NO3 (RnDSystems,美国)、皮质醇、去甲肾上腺素、肾上腺素(Bender Medsystems,奥地利)的浓度。结果以算术平均值和平均值误差(Mm)表示。对于组间比较,根据分布情况,使用独立样本t检验或非参数Mann-Whitney u检验。结果:生活在北极和相当于远北地区的地区的人,静脉外周血中利钠肽前体的含量较高。北极居民血液中Nt-pro-BNP浓度升高与去甲肾上腺素和皮质醇水平升高有关,而肾上腺素和内皮素-1浓度较低,淋巴细胞和单核细胞从循环池重新分布到边缘池。血液动力学反应调节的既定特征在北极成年居民和妇女中更为明显。结论:利钠肽的作用与同时激活去甲肾上腺素和皮质醇的分泌有关,并构成了在非常窄的范围内维持体内环境渗透压的机制的破坏风险。
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引用次数: 0
A MODEL FOR A COMPREHENSIVE ASSESSMENT OF THE ACTUAL STATE OF THE HEALTH- AFFECTING INFRASTRUCTURE OF THE MUNICIPALITY AND ANALYSIS OF THE ASSOCIATION OF INFRASTRUCTURE WITH THE LIFESTYLE OF THE POPULATION: RELENANCE, STUDY DESIGN AND METODOLOGY 综合评估市政当局影响健康的基础设施实际状况和分析基础设施与人口生活方式之间关系的模型:相关性、研究设计和方法
Q3 Social Sciences Pub Date : 2023-03-13 DOI: 10.17816/humeco76381
M. Popovich, A. Kontsevaya, E. Oussova, V. Zinovyeva, M. Lopatina, O. Drapkina
Formation of a socially comfortable urban environment is of a great importance for reducing health risks of the living population. The results of many foreign studies, assessing urban infrastructure, indicate a significant impact of environmental elements: buildings, transport, street design, public spaces, as well as access to infrastructure resources such as healthy eating, recreation areas and places for physical activity on the health of the living population. In Russia, such research is being carried out for the first time, in this regard, it seems appropriate to introduce the research methodology for the audience. The purpose of this article is to describe the relevance, design of the study and the methodology for a comprehensive assessment of the actual state of the infrastructure of the municipality, affecting the health of the residing population and the analysis of the association of infrastructure with the lifestyle for the formation of a unified preventive environment at the level of the municipality and the development of a comprehensive intersectoral health promotion program, taking into account risk factors (RF) for health of population in a specific municipality territory.
形成社会舒适的城市环境对于减少生活人口的健康风险具有重要意义。国外许多评估城市基础设施的研究结果表明,环境因素:建筑、交通、街道设计、公共空间以及健康饮食、休闲区和体育活动场所等基础设施资源的可及性对生活人口的健康产生重大影响。在俄罗斯,这种研究是第一次进行,在这方面,似乎有必要向听众介绍研究方法。本文的目的是描述研究的相关性、设计和方法,以全面评估影响居住人口健康的市政基础设施的实际状况,并分析基础设施与生活方式之间的关系,从而在市政一级形成统一的预防环境,并制定全面的跨部门健康促进方案。考虑到特定城市地区人口健康的风险因素。
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引用次数: 0
HYGIENIC JUSTIFICATION OF THE SYSTEM OF MEDICAL SUPPORT FOR STUDENTS WITH INCREASED MENTAL ABILITIES UNDER THE IMPACT OF EDUCATIONAL ENVIRONMENT RISK FACTORS 卫生医疗支持体系对心理能力提高学生在教育环境影响下的风险因素进行论证
Q3 Social Sciences Pub Date : 2023-03-10 DOI: 10.17816/humeco106761
A. Setko, O. Zhdanova
Summary. Introduction. The possibility of realizing the intellectual potential and development of students with enhanced abilities is actually ensured by creating conditions aimed at preserving and maintaining their health. Methods. In order to scientifically substantiate the system of accompanying students with increased mental abilities under the influence of risk factors of the educational environment on the basis of a multidisciplinary lyceum for gifted adolescents, a one-stage study of risk factors for the organization and intensity of the educational process and daily routine of students in grades 9-11 was carried out. To substantiate the application of the biofeedback method in the medical support system, the students were taught the diaphragmatic breathing technique, the effectiveness of which was evaluated on the basis of a comparative analysis of the functional state of the central nervous and cardiovascular systems, the psycho-emotional status of students before and after two weeks of functional biofeedback training. Results. It is shown that the risk factors for the health of students with increased mental abilities were the irrational organization of educational activities, its high intensity, as well as the violation of such health-saving components of the daily routine as night sleep and walks. At the same time, the analysis showed that the training loads contributed to the development of mental performance, and at the same time, increased tension in the regulatory systems of the students' body, which determined the need to develop a system to support students in the educational process. It was found that the implementation of diaphragmatic breathing training contributed to a 1.3-fold decrease in the level of anxiety among students, an increase in the number of students with satisfactory biological adaptation, against the background of a decrease in the number of students with reduced mental performance. Conclusion. The results of the study made it possible to scientifically substantiate and develop a system of accompanying students with enhanced abilities in the educational process, the implementation of which involves screening the diagnosis of the psychophysiological state of students, the formation of students of the "risk group" and "health group", the organization of a complex of corrective and health-improving and health-saving measures for them, aimed at increasing compensatory capabilities and psychophysiological reserves, strengthening and maintaining the health of students in the learning process.
总结。介绍。实现学生智力潜力和发展能力增强的可能性实际上是通过创造旨在保护和维持他们健康的条件来确保的。方法。为了科学地证实教育环境风险因素影响下的智力成长学生陪护制度,在多学科资优青少年学园的基础上,对9-11年级学生教育过程的组织、强度和日常生活的风险因素进行了一阶段研究。为验证生物反馈技术在医疗保障系统中的应用,对学生进行横膈膜呼吸技术的教学,通过对比分析学生在两周功能生物反馈训练前后的中枢神经和心血管系统功能状态、心理情绪状态,评价其有效性。结果。研究结果表明,影响智力发展型学生健康的危险因素是教育活动组织不合理、教育活动强度大、缺乏夜间睡眠和散步等日常生活中有利于健康的部分。同时,分析表明,训练负荷有助于心理表现的发展,同时,增加了学生身体调节系统的张力,这决定了需要开发一个系统来支持学生在教育过程中。研究发现,实施横膈膜呼吸训练后,学生的焦虑水平降低了1.3倍,在心理表现下降的学生数量减少的背景下,生物适应满意的学生数量增加了。结论。研究结果为科学地证实和发展一套在教育过程中陪伴能力增强学生的系统提供了可能,该系统的实施涉及对学生心理生理状态的筛查诊断,形成“危险群体”和“健康群体”的学生,为他们组织一套纠正和改善健康和挽救健康的综合措施。旨在提高代偿能力和心理生理储备,加强和保持学生在学习过程中的健康。
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引用次数: 0
Changes in complex bioclimatic indicators in Crimea since the middle of the 20th century 20世纪中叶以来克里米亚复杂生物气候指标的变化
Q3 Social Sciences Pub Date : 2023-03-04 DOI: 10.17816/humeco111767
Anna A. Stefanovich, E. Voskresenskaya
BACKGROUND: Observed global climate changes can significantly influence on the regional climate anomalies and recreational conditions over the Crimean peninsula. AIM: To study the features of complex bioclimatic indicators changes on the territory of Crimea over a multidecadal period (~70 years), paying special attention to each month of the year, and on bases of obtained results to show the possible way of recreational activities development associated with these changes. METHODS: For calculations, we used daily hydrometeorological data for each month from the archive of observations at the network of European weather stations E-OBS (v. 17.0) from 22 stations and NCEP/NCAR R1 reanalysis for the period of 19502018. The obtained arrays were verified in accordance with an open database of standard daily station observations in Crimea in 20052018. To assess the impact of climate change on the human body, the equivalent effective temperature, normal equivalent effective temperature, weight content of oxygen in the air (partial oxygen density) (O2), wet wind chill index Hill (Hw) and index Bodmann dry wind chiller (S) were calculated. The features of their linear trends for each month in the Crimean Peninsula were analysed. RESULTS: Monthwise analyses of the bioclimatic indicator trends demonstrated an increase or decrease in recreational comfort in certain seasons. The most pronounced positive normal equivalent effective temperature trends over Crimea were observed from winter to spring. This indicated improved complex recreational conditions in recent decades and the possibility to extend the duration of the holiday season. The pO2, Hw and S indices had opposite tendencies throughout the year (except for December). According to the pO2 index, in the period from August to October, a physiological oxygen deficiency may be experienced throughout Crimea. Windy and uncomfortable bioclimatic conditions tend to increase in the steppes of Crimea in December. CONCLUSION: The patterns of changes in bioclimatic indicators revealed through this study can be used as a regulatory factor for effectively organising and conducting recreational activities in the territory of Crimea and thus ensure the duration of the recreational period.
背景:观测到的全球气候变化对克里米亚半岛区域气候异常和休闲条件有显著影响。目的:研究克里米亚境内复杂的生物气候指标在几十年(~70年)内的变化特征,特别关注一年中的每个月,并根据所得结果显示与这些变化相关的娱乐活动发展的可能方式。方法:为了进行计算,我们使用了欧洲气象站网络E-OBS (v. 17.0)中22个站点的观测档案和NCEP/NCAR R1再分析中1950 - 2018年期间每个月的每日水文气象数据。根据2005年至2018年克里米亚标准日站观测数据的开放数据库对获得的阵列进行了验证。为了评估气候变化对人体的影响,计算了等效有效温度、正常等效有效温度、空气中氧的重量含量(偏氧密度)(O2)、湿风寒指数Hill (Hw)和干风寒指数Bodmann (S)。分析了克里米亚半岛每个月的线性趋势特征。结果:月度生物气候指标趋势分析显示,在某些季节,休闲舒适性增加或减少。从冬季到春季,克里米亚上空的正常等效有效温度趋势最为明显。这表明近几十年来复杂的娱乐条件有所改善,并且有可能延长假日季节的持续时间。pO2、Hw和S指数全年(12月除外)走势相反。根据pO2指数,在8月至10月期间,克里米亚可能会出现生理性缺氧。12月,克里米亚大草原上多风和不舒服的生物气候条件往往会增加。结论:通过本研究揭示的生物气候指标的变化模式可以作为在克里米亚境内有效组织和开展娱乐活动的调节因素,从而确保娱乐期的持续时间。
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引用次数: 1
The role of heme in environmentally caused oncogenesis (review) 血红素在环境致癌中的作用(综述)
Q3 Social Sciences Pub Date : 2023-03-04 DOI: 10.17816/humeco115234
S. K. Pinaev
The association of hemoblastoses, tumours of the central nervous system, with several other human neoplasms with various environmental factors of a chemical and physical nature has been previously established. Nonetheless, the mechanism of this relationship remains unclear. The author formulated the concept of environmentally determined oncogenesis with a key role of heme. According to the proposed model, the first stage of oncogenesis is the induction of environmentally determined oxidative stress, which is amplified by haem iron. Simultaneously, due to the ferromagnetic properties of heme iron reception, the induction and amplification of external electromagnetic fields occur with the formation of a feedback loop and additional stimulation of oxidative processes. Further, under the influence of active oxygen metabolites in target tissues with the greatest contact with heme, epigenomic dysregulation of semaphorin is developed. This leads to oncogenesis in actively proliferating cells of the axon growth cone, bone marrow, precursors of kidney cells, mesenchymal stem cells and endothelium. Consequently, benign tumours of the endothelium (hemangiomas), leukemias, lymphomas, tumours of the peripheral and central nervous system, as well as benign and malignant tumours of soft tissues occur. The proposed model illustrates the features of childhood oncology incidence with a predominance of hemangiomas among benign tumours, as well as hemoblastoses and tumours of the nervous system among cancers. In addition, the ability of heme to interact with electromagnetic fields advances our understanding of the relationship between neoplasms and solar activity.
造血细胞病,即中枢神经系统肿瘤,与其他几种具有化学和物理性质的环境因素的人类肿瘤之间的关联已被证实。尽管如此,这种关系的机制仍不清楚。作者提出了环境决定肿瘤发生的概念,其中血红素起着关键作用。根据提出的模型,肿瘤发生的第一阶段是诱导环境决定的氧化应激,这是由血红素铁放大。同时,由于血红素铁接收的铁磁性,外部电磁场的感应和放大与反馈回路的形成和氧化过程的额外刺激一起发生。此外,在与血红素接触最大的靶组织中活性氧代谢物的影响下,信号蛋白的表观基因组失调。这导致肿瘤发生在轴突生长锥、骨髓、肾细胞前体、间充质干细胞和内皮细胞的活跃增殖细胞中。因此,内皮细胞的良性肿瘤(血管瘤)、白血病、淋巴瘤、周围和中枢神经系统的肿瘤以及软组织的良性和恶性肿瘤都会发生。所提出的模型说明了儿童肿瘤发病率的特点,在良性肿瘤中血管瘤占主导地位,在癌症中造血细胞病和神经系统肿瘤占主导地位。此外,血红素与电磁场相互作用的能力促进了我们对肿瘤与太阳活动之间关系的理解。
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引用次数: 1
RELATIONSHIP OF BIOELEMENTAL STATUS AND CHANGES IN THE FUNCTIONAL STATE OF THE LUNGS IN THE FIRE FIGHTERS OF THE EMERCOM OF RUSSIA 俄罗斯新兵消防员肺功能状态变化与生物元素状态的关系
Q3 Social Sciences Pub Date : 2023-01-19 DOI: 10.17816/humeco108708
M. Vlasenko, M. Sannikov
Background: Firefighters are characterized by constant interaction with smoke and various combustion products, which, entering the body can, affect the state of the respiratory system. Objective: To study the relationship of the bioelemental status with changes in the functional state of the lungs in firefighters of the Ministry of Emergency Situations of Russia. Results: The study revealed an increase in a number of toxic microelements in firefighters by 2-5 times compared with persons not participating in fire extinguishing, as well as a decrease in the content of essential microelements in the studied hair samples. The connection of toxic trace elements (aluminum, silver, cadmium) with a decrease in the diffusion capacity of the lungs, broncho-obstructive changes and pulmonary fibrosis was shown. The study showed the relationship between the accumulation of the level of silver, aluminum and cadmium with noticeable changes in the functional state of the lungs.
背景:消防员的特点是经常与烟雾和各种燃烧产物相互作用,这些物质进入体内会影响呼吸系统的状态。目的:研究俄罗斯紧急情况部消防队员肺功能状态变化与生物元素状况的关系。结果:研究显示,与不参与灭火的人相比,消防员体内有毒微量元素的数量增加了2-5倍,并且在所研究的头发样本中必需微量元素的含量减少。有毒微量元素(铝、银、镉)与肺弥散能力下降、支气管阻塞性改变和肺纤维化有关。该研究表明,银、铝和镉水平的积累与肺部功能状态的显著变化之间存在关系。
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引用次数: 0
INTEGRAL ASSESSMENT OF NON-SPECIFIC LIPID PEROXIDATION REACTIONS IN ADOLESCENT GIRLS OF THE SIBERIAN ETHNOUS 西伯利亚族少女非特异性脂质过氧化反应的综合评价
Q3 Social Sciences Pub Date : 2023-01-18 DOI: 10.17816/humeco105586
M. Darenskaya, L. V. Rychkova, S. Kolesnikov, N. Semenova, L. Kolesnikova
Introduction: Integral parameters, in particular, the oxidative stress coefficient, created by Scientific Centre for Family Health and Human Reproduction Problems, are more informative in contrast to individual indicators and can be used both for evaluation of pathological conditions and compensatory-adaptive reactions of the organism. The general decrease of the adaptation possibilities in the female population, especially indigenous peoples as a part of the reproductive potential of the nation has been noted. The estimation of the integral coefficient in adolescent girls living in different territories and belonging to different ethnic groups is topical. Aim: to investigate an integral coefficient the activity of nonspecific reactions of lipid peroxidation in adolescent girls of the Buryat, Evenki and Tofalar ethnic groups, as compared to the indigenous ethnic groups, by applying. Methods: The 190 adolescent girls (Buryats, Evenki and Tofalar, and non-indigenous population (for example of Russians)) living in the Irkutsk region were the objects of research. The survey was carried out in expeditionary conditions, in the territories of compact residence of ethnic groups. To calculate the integral coefficient (oxidative stress coefficient - OSC) spectrophotometry and fluorometry methods we used. The individual indicators: primary, secondary and final products of lipid peroxidation and antioxidant defense components were measured. Results: According to the obtained data, a lower content of diene conjugates (DC) (2.41 times lower; p0.0001), ketodienes and conjugated trienes (KD and СT) (2.10 times lower; p=0.0003), -tocopherol (1.38 times lower p0.0001) with elevated levels of TBA-active products (1.53 times higher (p=0.0074) and superoxide dismutase activity (p=0.0008) in the Buryat ethnic girls group relative to similar parameters of girls in the non-ingenious population was observed. Girls of the Evenki ethnic group had higher values of -tocopherol (1.29 times higher; p=0.0136) and reduced form of glutathione (1.28 times higher; p=0.0012) compared to those of the non-indigenous population. Girls of Tofalar ethnic group had higher values of DC (1,5 times higher; p=0,0009), -tocopherol (1,28 times higher; p=0,0227) and retinol (1,34 times higher; p=0,0420), with reduced values of KD and CT (1,43 times lower; p=0,0044) compared to those of the corresponding non-indigenous population. Integral analysis of the non-specific reactions of lipid peroxidation state by integral coefficient showed its maximum values in the representatives of the Evenki ethnos and reduced values in the girls of Tofalar ethnos. Conclusion: The integral evaluation of the activity of nonspecific lipid peroxidation reactions in adolescent girls belonging to different Siberian ethnic groups has revealed certain differences, which are evolutionarily deterministic and may serve as a basis for further monitoring of health conditions and developing regional ethnospecific measures
导论:综合参数,特别是由家庭健康和人类生殖问题科学中心创建的氧化应激系数,比个别指标提供更多信息,可用于评估病理状况和生物体的代偿适应反应。人们注意到,作为国家生殖潜力的一部分,妇女人口,特别是土著人民的适应能力普遍下降。不同地区、不同民族少女的积分系数的估计是一个热点问题。目的:应用积分系数法研究布里亚特族、埃文基族和托法拉族少女脂质过氧化非特异性反应活性,并与土著民族进行比较。方法:以伊尔库茨克地区190名青春期少女(布里亚特人、埃文基人、托法拉尔人)和非土著人口(如俄罗斯人)为研究对象。这项调查是在远征条件下,在少数民族聚居区进行的。采用分光光度法和荧光法计算积分系数(氧化应激系数- OSC)。个体指标:测定脂质过氧化的一次产物、二次产物和终产物及抗氧化防御成分。结果:二烯偶联物(DC)含量降低2.41倍;p0.0001),酮二烯和共轭三烯(KD和СT)(降低2.10倍;p=0.0003), -生育酚(低1.38倍,p0.0001), tba活性产物(高1.53倍,p=0.0074)和超氧化物歧化酶活性(p=0.0008)水平升高,相对于非天才人群的相似参数,布里亚特女孩组观察到。鄂温克族女孩-生育酚值较高(1.29倍);P =0.0136)和还原型谷胱甘肽(高1.28倍;P =0.0012)。托法拉尔族女童DC值较高(1、5倍);P = 0.0009), -生育酚(高1.28倍;P =0,0227)和视黄醇(1.34倍);p=0,0420), KD和CT值降低了1.43倍;P = 0.0044),与相应的非土著人口相比。用积分系数对脂质过氧化态非特异性反应进行积分分析,结果表明,在鄂温克族代表人群中脂质过氧化态反应最大,在托法拉尔族女孩中脂质过氧化态反应最小。结论:西伯利亚不同民族少女非特异性脂质过氧化反应活性的综合评价显示出一定的差异,这种差异具有进化确定性,可为进一步监测健康状况和制定区域民族特异性疾病预防措施提供依据。
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引用次数: 0
ASSESSMENT OF THE CHEMICAL AND RADIOLOGICAL SAFETY OF WILD MUSHROOMS AND BERRIES GROWING IN THE ARKHANGELSK REGION 阿尔汉格尔斯克地区野生蘑菇和浆果的化学和放射性安全评估
Q3 Social Sciences Pub Date : 2023-01-16 DOI: 10.17816/humeco110972
T. Unguryanu, Daria Stepovaia, I. Beliaevskaia, Svetlana Zakharova, Konstantin Bobykin, N. Volkov, D. Kuznetsova, E. Kosareva, Anna Glukhanova
Aim: to analyze the levels of contamination with heavy metals and radionuclides of forest mushrooms and berries growing in the Arkhangelsk region. Methods: data on the content of heavy metals (cadmium, mercury, lead, arsenic) and radionuclides (cesium-137 and strontium-90) in berries and mushrooms were studied based on the protocols of the Agrochemical Service Station Arkhangelskaya and the Center for Hygiene and Epidemiology in the Arkhangelsk Region and the Nenets Autonomous Okrug for 2015-2021. 201 samples of mushrooms and 175 samples of berries were analyzed. Results: The concentrations of heavy metals did not exceed the maximum permissible concentrations in 94% of the studied samples of mushrooms and 86% of the studied samples of berries. All samples of mushrooms and berries corresponded the hygienic standards for the content of radionuclides. The mean concentrations of mercury (0.013 mg/kg) and cadmium (0.040 mg/kg) in mushrooms were higher than the average concentrations of these metals in berries by 2.1 times (p = 0.002) and 1.8 times (p0.001), respectively. At the level of median concentration and 90th percentile, the content of mercury in tubular mushrooms (0.036 and 0.047 mg/kg, respectively) was 3.2 times higher compared to plate mushrooms (p = 0.003). The highest content of arsenic (0.067 mg/kg and 0.24 mg/kg, respectively) and lead (0.088 mg/kg and 0.15 mg/kg) were found in the berries of the large-sized shrubs at the level of average concentration and the 90th percentile compared to other shrub species, but the differences were not statistically significant. Conclusion: Mushrooms and berries from the Arkhangelsk region contain low concentrations of heavy metals and radionuclides. Mushrooms accumulate heavy metals and radionuclides more than berries. It is necessary to organize monitoring of the content of heavy metals in wild mushrooms and berries.
目的:分析生长在阿尔汉格尔斯克地区的森林蘑菇和浆果的重金属和放射性核素污染水平。方法:根据阿尔汉格尔斯卡亚农化服务站和阿尔汉格尔斯克地区和涅涅茨自治区卫生与流行病学中心2015-2021年的方案,研究浆果和蘑菇中重金属(镉、汞、铅、砷)和放射性核素(铯-137和锶-90)的含量数据。分析了201个蘑菇样本和175个浆果样本。结果:94%的蘑菇样品和86%的浆果样品中重金属浓度未超过最大允许浓度。所有蘑菇和浆果样品均符合放射性核素含量卫生标准。蘑菇中汞(0.013 mg/kg)和镉(0.040 mg/kg)的平均浓度分别比浆果中汞和镉的平均浓度高2.1倍(p = 0.002)和1.8倍(p0.001)。在中位浓度和第90百分位水平上,管状蘑菇的汞含量分别为0.036和0.047 mg/kg,是平板蘑菇的3.2倍(p = 0.003)。在平均浓度和第90百分位水平上,大型灌木果实中砷和铅的含量分别为0.067 mg/kg和0.24 mg/kg,高于其他灌木品种,但差异无统计学意义。结论:阿尔汉格尔斯克地区的蘑菇和浆果含有低浓度的重金属和放射性核素。蘑菇比浆果更容易积累重金属和放射性核素。因此,有必要组织对野生蘑菇和野生浆果中重金属的含量进行监测。
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Ekologiya Cheloveka (Human Ecology)
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