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Meditsina Truda I Promyshlennaia Ekologiia[JOURNAL]

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[Features of therapy for chronic pancreatitis associated with anxious depressive disorders in railway workers].

Ushakov IB, Lubavskaya SS, Batishcheva GA … +1 more , Chernov YN

Med Tr Prom Ekol · 2016 · PMID 27396150

The article presents data on peculiarities of chronic pancreatitis course in railway transport workers (engine operators, engine operator assistants, dispatchers) with anxious depressive disorders. Pain and dyspepsia in... The article presents data on peculiarities of chronic pancreatitis course in railway transport workers (engine operators, engine operator assistants, dispatchers) with anxious depressive disorders. Pain and dyspepsia in patients with affective disorders appeared to be constant and more intense than in the patients without concomitant anxious depression. Psychophysiologic tests in 83% of patients with comorbid conditions revealed significant psychomotor dullness manifested in reliable lower speed of visual motor reactions. Pharmacologic correction via anxiolytics (Adaptol, Afobasol) combined with standard therapy for chronic pancreatitis exacerbation enabled to improve clinical symptoms, but Adaptol appeared to slow simple visual motor reactions, therefore has to be ruled out in engine operators. Pharmacotherapy of chronic pancreatitis, that included Afobasol in addition to standard treatment, promoted reliable improvement of occupationally important psychophysiologic functions. This study received a patent.

[Mild cognitive disorders in railway locomotive crew workers (review of literature)].

Ozhogina OA, Zakrevskaya AA, Serikov VV

Med Tr Prom Ekol · 2016 · PMID 27396149

Functional reliability of engine operator and engine operator's assistant is one of the most important factors in railway safety. Ability to railway locomotive operation is determined via suitability criteria of occupati... Functional reliability of engine operator and engine operator's assistant is one of the most important factors in railway safety. Ability to railway locomotive operation is determined via suitability criteria of occupationally important qualities of operator and operator's assistant, and of nervous system functional state. Lower reliability manifested in worse functional state of engine operator or in lost occupationally important qualities can be connected with various diseases of which most prevalent are cardiovascular disorders. Transitory brain circulatory disorders can cause cognitive disturbances varying in severity. When mild cognitive disorders, precise diagnosis leads to effective prevention of the diseases development and preserved occupationally important qualities in engine operators. Neuropsychologic methods for mild cognitive disorders help not only to diagnose presence and intensity of cognitive defect, but to suggest a mechanism of its development, that eventually increases efficiency of correction.

[Ethical problems of hygienic tests in occupational medicine].

At'kov OY, Gorokhova SG

Med Tr Prom Ekol · 2016 · PMID 27396148

The authors discuss bioethical problems appearing in usage of genetic tests as a technology of personalized medicine for prevention and early diagnosis of occupational diseases, and connected with question "Who has a rig... The authors discuss bioethical problems appearing in usage of genetic tests as a technology of personalized medicine for prevention and early diagnosis of occupational diseases, and connected with question "Who has a right to know results of genetic test?". Analysis covered principles and legal norms, regulating human rights for security of health information, and causes of anxiety about workers' discrimination due to genetic test results. The authors necessitate differentiation between discrimination and reasonable restrictions favorable for workers in cases when work conditions can be a health hazard for person due to genetic predisposition.

[Evaluating influence of Captopril therapy on occupational activity of engine operators with hypertension].

Serikov VV, Kolyagin VY, Bogdanova VE

Med Tr Prom Ekol · 2016 · PMID 27396147

The article covers results of study concerning influence of Captopril (25 mg) therapy on occupational activity of locomotive crew workers in real night travels model on training complex "EP1M locomotive operator cabin".... The article covers results of study concerning influence of Captopril (25 mg) therapy on occupational activity of locomotive crew workers in real night travels model on training complex "EP1M locomotive operator cabin". Findings are that single use of Captopril (25 mg) in modelled railway activity enabled to increase reliability of occupational activity, that manifested in lower number of errors in locomotive operators' actions at night, and in psychophysiologic regulation of various psychic acts.

[Possible psychoemotional correction of psychophysical state in railway locomotive crew workers].

Bogdanova VE, Zakrevskaya AA, Serikov VV

Med Tr Prom Ekol · 2016 · PMID 27396146

The article presents results of study concerning influence of relaxation sessions on emotional and psychophysical state of locomotive crew workers in special cabin for psychoemotional relief "Vivid silence" simulating re... The article presents results of study concerning influence of relaxation sessions on emotional and psychophysical state of locomotive crew workers in special cabin for psychoemotional relief "Vivid silence" simulating rest in nature. Relaxation sessions appeared to cause better mood, lower blood pressure, increased reactions speed, reduced number of errors. Purposeful training of the specialists in self-regulation is extremely important for preparation to work activity and for prophylactic and social measures aimed to preserve and improve health in locomotive crew workers.

[Obstructive sleep apnea features and occupational fitness of railway workers].

Buniatyan MS, Belozerova NV, At'kov OY

Med Tr Prom Ekol · 2016 · PMID 27396145

The article covers prevalence of obstructive sleep apnea syndrome, its role in health disorders of workers engaged into railway safety. The authors analyzed present standards of occupational fitness in workers performing... The article covers prevalence of obstructive sleep apnea syndrome, its role in health disorders of workers engaged into railway safety. The authors analyzed present standards of occupational fitness in workers performing critically important operating activities and methods of occupational selection with possible obstructive sleep apnea syndrome. I stage recommendations are suggested in diagnosis of obstructive sleep apnea syndrome in workers engaged into railway safety. Obstructive sleep apnea syndrome appeared to threaten operators' activity, to cause accidents, to early disablement due to life-threatening complications, to unsuitability for the occupation due to diseases connected with obstructive sleep apnea syndrome (arterial hypertension, diabetes mellitus, metabolic syndrome, cardiac rhythm and conductivity disorders, obesity).

[Structure of allostatic load in railway workers].

Gorokhova SG, Pfaf VF, Muraseyeva EV … +3 more , Akhsanova ER, Prigorovskaya TS, At'kov OY

Med Tr Prom Ekol · 2016 · PMID 27396144

The authors studied allostatic load in railway workers, as an indicator of stress effect. Analysis covered biomarkers that form allostatic load index, and their ratio for variable allostatic load index levels. Moderate a... The authors studied allostatic load in railway workers, as an indicator of stress effect. Analysis covered biomarkers that form allostatic load index, and their ratio for variable allostatic load index levels. Moderate allostatic load appeared to prevail in the examinees group. Findings are that systolic and diastolic blood pressure, general cholesterol and hemoglobin make major contribution into allostatic load index. Comparison covered models of allostatic load index calculation for variable biomarkers sets.

[On evaluating occupational fitness in railway workers with ventricular arrhythmias after coronary arteries stenting].

Muraseyeva EV, Gorokhova SG, Prigorovskaya TS … +1 more , Pfaf VF

Med Tr Prom Ekol · 2016 · PMID 27396143

The authors studied prospects of work capacity preserving after coronary stenting in IHD and cardiac arrhythmias. Examination covered 158 railway workers underwent complete endovascular revascularization of myocardium fo... The authors studied prospects of work capacity preserving after coronary stenting in IHD and cardiac arrhythmias. Examination covered 158 railway workers underwent complete endovascular revascularization of myocardium for coronary stenosis; all of them had ventricular arrhythmias before coronary surgery. Findings are that in long-term period (in 16 months in average) after coronary stenting, grade I and III ventricular extrasystoles disappeared in 77.8 and 54.5% of cases respectively, but only in 11.9% of grade IV ventricular extrasystoles cases. Ventricular extrasystoles remained unchanged in 44.3% of cases. Reliable relationships were seen between unchanged grade IV ventricular extrasystoles and body weight index (OR = 5.49, 95% CI: 0.87-34.67), general cholesterol level (OR = 1.69; 95% CI: 1.06-2.69), low density lipoproteins (OR = 1.66; 95% CI: 1.00-2.76) and left ventricular ejection function lower 45% (OR = 1.61; 95% CI: 1.14-2.27), exertion ventricular extrasystoles before myocardium revascularization (OR = 3.1; 95% CI: 1.78-5.41). That necessitates correction of the mentioned risk factors of cardiac arrhythmias for restored work capacity.

[FEDERAL CLINICAL RECOMMENDATIONS IN DIAGNOSIS, TREATMENT AND PREVENTION OF HEARING LOSS DUE TO NOISE].

Adeninskaya EE, Bukhtiarov IV, Bushmanov AIu … +10 more , Dayhes NA, Denisov EI, Izmerov NF, Mazitova NN, Pankova VB, Preobrazhenskaya EA, Prokopenko LV, Simonova NI, Tavartkiladze GA, Fedina IN

Med Tr Prom Ekol · 2016 · PMID 27265944

Noise induced hearing loss is a slowly developing hearing impairment, caused by occupational exposure to excessive noise levels, constitutes a lesion of the auditory analyzer and clinically manifested as chronic bilatera... Noise induced hearing loss is a slowly developing hearing impairment, caused by occupational exposure to excessive noise levels, constitutes a lesion of the auditory analyzer and clinically manifested as chronic bilateral sensorineural hearing loss. Currently, there is not a treatment that provide a cure of sensorineural hearing loss. Regular, individually tailored treatment should be directed to the pathogenic mechanisms and specific clinical symptoms of hearing loss, as well as the prevention of complications. We recommend using non-drug therapies that can improve blood flow in labyrinth, tissue and cellular metabolism.

[Preventing cardiovascular risk in miners].

Lipatova LV, Izmailova OA

Med Tr Prom Ekol · 2016 · PMID 27265943

The article presents results concerning usage of intravenous laser radiation of blood in miners with cardiovascular diseases. After cardiovascular state assessment, the miners at high cardiovascular risk were subjected t... The article presents results concerning usage of intravenous laser radiation of blood in miners with cardiovascular diseases. After cardiovascular state assessment, the miners at high cardiovascular risk were subjected to prophylactic procedures with traditional medical treatment added by intravenous laser therapy. Findings are anti-arrhythmic, antihypertensive, antiatherogenic and anti-aggregation effects of complex treatment with intravenous laser radiation of blood in miners at high cardiovascular risk and its subsequent decrease due to treatment.

[Criterial value of oxidative stress parameters in exposure to vibration].

Kriuchkova EN, Antoshina LI, Zheglova AV … +1 more , Saarkoppel' LM

Med Tr Prom Ekol · 2016 · PMID 27265942

The article covers results of study concerning metabolic processes in workers exposed to vibration. Findings are lipid peroxidation processes activation, depressed anti-oxidant system, changes in intracellular exchange p... The article covers results of study concerning metabolic processes in workers exposed to vibration. Findings are lipid peroxidation processes activation, depressed anti-oxidant system, changes in intracellular exchange processes, dependence of the studied parameters change on length of service with vibration exposure.

[Influence of psychologic attitude to efficiency of pain treatment in vibration disease].

Kir'yakov VA, Sukhova AV

Med Tr Prom Ekol · 2016 · PMID 27265941

The article presents results of study concerning influence of desadaptive psychologic attitudes on formation and perception of pain syndrome in 148 vibration disease patients. The authors determined clinical and psycholo... The article presents results of study concerning influence of desadaptive psychologic attitudes on formation and perception of pain syndrome in 148 vibration disease patients. The authors determined clinical and psychologic predictors of efficiency of pain syndrome treatment in vibration disease patients.

[Providing studies quality for pesticides risk evaluation in their use according to proper laboratory practice rules].

Rakitskiy VN, Bereznyak IV

Med Tr Prom Ekol · 2016 · PMID 27265940

The article covers experience of proper laboratory practice in hygienic studies examining air and workers' skin for assessment of exposure levels of pesticides in natural conditions of agricultural production. The article covers experience of proper laboratory practice in hygienic studies examining air and workers' skin for assessment of exposure levels of pesticides in natural conditions of agricultural production.

[Minimizing risk for health in workers engaged into preplanting treatment of planting material].

Lipkina LI, Zavolokina NG, Mikheyeva EN

Med Tr Prom Ekol · 2016 · PMID 27265939

Application of modern technologies and pesticides for preplanting treatment of planting material guarantees minimal risk of hazardous influence on workers with strict compliance with technologic regulations (preparation... Application of modern technologies and pesticides for preplanting treatment of planting material guarantees minimal risk of hazardous influence on workers with strict compliance with technologic regulations (preparation and working solution consumption, normalized technique, etc) and safety requirements (usage of recommended individual protection means, timely cleansing of equipment, etc).

[Biomonitoring in workers exposed to pesticides: development and application of method detecting imidacloprid in urine].

Fedorova Ne, Rakitskiy Vn, Goryacheva L … +1 more , Chistova A

Med Tr Prom Ekol · 2016 · PMID 27265938

Imidacloprid is a relatively new insecticide in neonicotinoids chemical class with neuroactivity in insects, being one of the most widely used insecticides in the world. For biomonitoring in workers exposed to pesticides... Imidacloprid is a relatively new insecticide in neonicotinoids chemical class with neuroactivity in insects, being one of the most widely used insecticides in the world. For biomonitoring in workers exposed to pesticides, the authors designed a method detecting low levels of Imidacloprid in urine of operators, based on tandem liquid mass-spectrometry with ionization source--electrostatic dispersion (positive ionization) in multi-reaction monitoring regime with subsidiary ion (mass/charge) 209 for quantitative assessment and ion 175.1 for confirmation onion ratio. The study incorporated diurnal urine, about 100 ml of average sample was frozen and kept at temperature -20C for analysis. Before extraction, the sample was unfrozen, an aliquot of 5 ml was selected, diluted with 5 ml of 0.1% formic acid. The substance was concentrated out of the urine samples via solid-phase extraction with application of cartridges based on octadecylsilane, eluition--1 ml of methanol. Lower limit of Imidacloprid detection in urine is 0.02 ng/ml, of the quantitative assessment--0.1 ng/ ml, linear range of concentrations measured 0.1-10 ng/ml. The method was tested for monitoring in workers exposed to Imidacloprid preparations in natural conditions of pesticides application in agriculture, with various processing technologies. Imidacloprid was identified in urine of two professional operators after work in seed treatment and the subsequent seeding at lower limit of detection (0.02 ng/ml) and 0.34 ng/ml.

[Features of nano aerosols action and safety measures].

Lutsenko LA, Rakitskiy VN, Il'nitskaya AV … +2 more , Egorova AM, Gvozdeva LL

Med Tr Prom Ekol · 2016 · PMID 27265937

The article presents results of studies concerning influence of high-dispersed aerosol formed in traditional plasma processes on operators' health. Consideration also includes new technologies to obtain metall-containing... The article presents results of studies concerning influence of high-dispersed aerosol formed in traditional plasma processes on operators' health. Consideration also includes new technologies to obtain metall-containing nanoproducts; the authors recommend protection measures for workers, methods and devices to control nano aerosols in air.

[Adaptation potential of cardio-respiratory system in dust diseases].

Serebryakov PV, Nenenko OI, Fedina IN … +1 more , Rakhimzyanov AR

Med Tr Prom Ekol · 2016 · PMID 27265936

The article covers results of cardio-respiratory system evaluation in workers exposed to dust, on basis of adaptation potential evaluation via calculation of functional changes index and 6 minutes' walk test with continu... The article covers results of cardio-respiratory system evaluation in workers exposed to dust, on basis of adaptation potential evaluation via calculation of functional changes index and 6 minutes' walk test with continuous assessment of blood oxygenation and heart rate. Adaptation disorders are supported by results of external respiration assessment and echo-cardiography.

[History of mandatory (set by decree) preliminary and periodic medical examinations of workers in hazardous work conditions].

Retnev VM

Med Tr Prom Ekol · 2016 · PMID 27164754

The article deals with over a hunderd years history of foundation and pregress in organization and process of mandatory preliminary and periodic medical examinations of workers exposed to hazardous work conditions. The article deals with over a hunderd years history of foundation and pregress in organization and process of mandatory preliminary and periodic medical examinations of workers exposed to hazardous work conditions.

[First scientific research and publications on occupational medicine in Russia].

Shigan EE

Med Tr Prom Ekol · 2016 · PMID 27164753

The article covers data on first in Russian Empire research works and publications on workers' health, occupation-related diseases occurrence, prevention and treatment of such diseases, prophylactic methods. The article covers data on first in Russian Empire research works and publications on workers' health, occupation-related diseases occurrence, prevention and treatment of such diseases, prophylactic methods.

[State of vegetative regulation in workers exposed to vibration at work during industrial implementation of hi-tech pneumoinstruments].

Drobyshev VA, Shpagina LA, Panacheva LA … +3 more , Gerasimenko ON, Abramovich SG, Smirnova IN

Med Tr Prom Ekol · 2016 · PMID 27164752

The study was conducted on aircraft-building enterprise during production microcycle (before working shift start, during last working hour and in an hour after the shift end)--spectral analysis covered variability of hea... The study was conducted on aircraft-building enterprise during production microcycle (before working shift start, during last working hour and in an hour after the shift end)--spectral analysis covered variability of heart rhythm in 70 male assembler riveters aged 25-59, divided into 2 groups in accordance with industrial equipment used. The group 1 used standard vibroinstrument, the group 2--pneumoinstruments with low vibration velocity parameters. Triple study during the working shift revealed in group 2 an adequate reaction of vegetative nervous system to vibration, in group 1 a negative trend was seen with centralization of regulatory processes and absence of adequate recovery in an hour after work.
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