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Meditsina Truda I Promyshlennaia Ekologiia[JOURNAL]

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[Occupational deafness in workers of locomotive crew and its association with risk factors].

Pfaf VF, Gorokhova SG, Luzina KE … +5 more , Yanushkina ES, Prigorovskaya TS, Muraseeva EV, Dragan SP, At'kov OY

Med Tr Prom Ekol · 2016 · PMID 27164751

The authors studied relationship between occupational neurosensory deafness and risk factors in locomotive crew workers. Examination covered 173 locomotive crew workers divided into 2 groups: group 1--with occupational n... The authors studied relationship between occupational neurosensory deafness and risk factors in locomotive crew workers. Examination covered 173 locomotive crew workers divided into 2 groups: group 1--with occupational neurosensory deafness (n = 85) and group 2--without occupational neurosensory deafness (n = 88). Study covered occupational factors and calculated effective dose connected to length of service for exposure assessment. Complex clinical and laboratory study was performed. For signs structure analysis, principal components method and chances ratio were used. Occupational neurosensory deafness appeared to be reliably connected with length of service, arterial hypertension, dyslipidemia--with OR equals 5.7 (95% CI: 2.98-11.00), 1.88 (95% CI: 1.03-3.43) and 2.79 (95% CI: 1.5-5.18) respectively. That necessitates correction of hypertension and dyslipidemia.

[Prenosologic criteria of health disorders and cardiovascular risk factors in workers engaged into nuclear industry].

Shpagina LA, Vorob'ev VA, Smirnova IN … +7 more , Panacheva LA, Drobyshev VA, Abramovich SG, Titskaya EV, Reshetova GG, Tonkoshkurova AV, Saraskina LE

Med Tr Prom Ekol · 2016 · PMID 27164750

Prophylactic study among workers engaged into main production of Siberian chemical enterprise (Seversk city) revealed high frequency of cardiovascular risk factors (overweight, hypodynamia, dyslipidemia, arterial hyperte... Prophylactic study among workers engaged into main production of Siberian chemical enterprise (Seversk city) revealed high frequency of cardiovascular risk factors (overweight, hypodynamia, dyslipidemia, arterial hypertension), low level of adaptational potential and integral somatic health parameter as prenosologic criteria of cardiovascular diseases. The results necessitate recommendations to supplement periodic medical examinations with studies aimed to reveal early criteria of health disorders, and determine priority directions to specify prophylactic measures in nuclear industry workers.

[Approaches to phototherapy in children with chronic dermatosis (review of literature)].

Turbovskaya SN, Ponich ES, Kruglova LS … +7 more , Levshin RN, Korchazhkina NB, Elfimov MA, Filatova EV, Ivanova II, Illarionov VE, Chervinskaya AV

Med Tr Prom Ekol · 2016 · PMID 27164749

The article covers main aspects of phototherapy and photochemotherapy in treatment of skin diseases in children, risks of such methods usage, prophylactic and therapeutic measures, and precaution means for such treatment... The article covers main aspects of phototherapy and photochemotherapy in treatment of skin diseases in children, risks of such methods usage, prophylactic and therapeutic measures, and precaution means for such treatment in pediatrics.

[Combined treatment of palmoplantar syndrome in patients under antitumor therapy].

Kruglova LS, Shatokhina EA, Elfimov MA … +5 more , Illarionov VE, Chervinskaya AV, Portnov VV, Filatova EV, Petrova MS

Med Tr Prom Ekol · 2016 · PMID 27164748

Observation covered 12 patients under various antitumor medications. Group 1 was formed of patients with developed palmoplantar syndrome varying in severity, who received complex treatment including IR-therapy and local... Observation covered 12 patients under various antitumor medications. Group 1 was formed of patients with developed palmoplantar syndrome varying in severity, who received complex treatment including IR-therapy and local antioxidant medication. Group 2 included patients without palmoplantar syndrome, who received preventive treatment with IR-therapy. All patients of group 1 demonstrated lower severity of palmoplantar syndrome manifestations. In group 2, 80% of the patients avoided palmoplantar syndrome development, and 20% of the patients had light course of the syndrome manifestations. Patients at high risk of palmoplantar syndrome under antitumor therapy are recommended to undergo IR-therapy and local antioxidant medication.

[Topical problems of empiric therapy of community-acquired pneumonia in outpatient practice].

Stepanova II, Chorbinskaya SA, Baryshnikonva GA … +5 more , Nikiforova NV, Pokutniy NF, Zverkov IV, Maslovskyi LV, Kotenko KV

Med Tr Prom Ekol · 2016 · PMID 27164747

Community-acquired pneumonia is one of prevalent infectious respiratory diseases. Adequate treatment of community-acquired pneumonia, with consideration of the disease severity and microbial resistence, remains extremely... Community-acquired pneumonia is one of prevalent infectious respiratory diseases. Adequate treatment of community-acquired pneumonia, with consideration of the disease severity and microbial resistence, remains extremely topical. The article covers contemporary views of community-acquired pneumonia treatment standards. The authors described results of personal research aimed to study antibacterial treatment for community-acquired pneumonia on outpatient basis over 2004-2012, evaluated correspondence of the treatment to the national clinical recommendations.

[Use of Verapamil and Dilthiasem in treating patients at high cardiovascular risk (review of literature)].

Baryshnikova GA, Chorbinskayva SA, Stepanova II … +5 more , Blochina OE, Zverkov IV, Maslovskyi LV, Korchazhkina NB, Maslennikova OM

Med Tr Prom Ekol · 2016 · PMID 27164746

The article deals with usage of nondihydropiridine calcium antagonists--verapamil and dilthiasem--in treating patients with arterial hypertension, cardiomyopathy and arrhythmia, for secondary prevention of IHD. Data also... The article deals with usage of nondihydropiridine calcium antagonists--verapamil and dilthiasem--in treating patients with arterial hypertension, cardiomyopathy and arrhythmia, for secondary prevention of IHD. Data also concern cardio-, angio--and nephroprotective activity of the medications, their ability to prevent left ventricle hypertrophy, possible usage in patients after myocardial infarction. The authors also discuss problems of tolerance and safety of calcium antagonists with prolonged action vs. those with short-term action.

[Efficiency and safety of generic Atorvastatine in patients at high cardiovascular risk].

Chorbinskayva SA, Stepanova II, Baryshnikova GA … +3 more , Pokutniy NF, Zverkov IV, Blohina OE

Med Tr Prom Ekol · 2016 · PMID 27164745

Statines are first choice medications for hypercholesterolemia and combined hyperlipidemia of varying severity in wide population of patients. Atorvastatine is one of the most effective statines. In Russia, Atorvastatine... Statines are first choice medications for hypercholesterolemia and combined hyperlipidemia of varying severity in wide population of patients. Atorvastatine is one of the most effective statines. In Russia, Atorvastatine is represented by nearly twenty drugs most of which are generics. The article covers data on efficiency, safety and good tolerance of Liptonorm--a generic Atorvastatine.

[Contemporary potential of nonmedical treatment in ophthalmology].

Drakon AK, Elfimov MA, Illarionov VE … +2 more , Ivanova II, Portnov VV

Med Tr Prom Ekol · 2016 · PMID 27164744

The article covers treatment results of 90 patients with primary glaucoma simplex of stage 1 and 2 (137 eyes). The authors proved that using a specified magnetotherapy method, when compared to regular medical therapy, ca... The article covers treatment results of 90 patients with primary glaucoma simplex of stage 1 and 2 (137 eyes). The authors proved that using a specified magnetotherapy method, when compared to regular medical therapy, causes more fast and marked regression in clinical symptoms and improvement of vision in patients with primary glaucoma simplex of stages 1 and 2.

[Complementary methods of rehabilitation in borderline mental disorders].

Elfimov MA, Kotenko KV, Korchazhkina NB … +4 more , Filatova EV, Portnov VV, Chervinskaya AV, Mikhailova AA

Med Tr Prom Ekol · 2016 · PMID 27164743

The article covers treatment results of 417 patients (186 males and 231 females) aged 18 to 71 years, with borderline mental disorders. Findings are that using specified complementary methods, more when treatment complex... The article covers treatment results of 417 patients (186 males and 231 females) aged 18 to 71 years, with borderline mental disorders. Findings are that using specified complementary methods, more when treatment complex is applied, causes better psycho-emotional state in patients with borderline mental disorders, that is supported by results of medical diagnostic tests including psychometry tests (abridged minnesota multiphasic personality inventory, Beck depression inventory, Spielberger-Hanin, test "feeling, activity, mood").

[FEDERAL CLINICAL PRACTICE GUIDELINES FOR THE DIAGNOSIS, PREVENTION AND TREATMENT OF PNEUMOCONIOSIS].

Artemoval LV, Baskova NV, Burmistrova TB … +35 more , Buryakinal EA, Buhtiyarov IV, Bushmanov AY, Vasilyeva OS, Vlasov VG, Gorblyansky YY, Zhabina SA, Zaharinskaya ON, Ismerov NF, Kovalevsky EV, Kuznetsova GV, Kuzmina LP, Kunyaeva TA, Logvinenko II, Lutsenko LA, Mazitova NN, Obukhova TY, Odintseva OV, Orlova GP, Panacheva LA, Piktushanskaya IN, Plyukhin AE, Poteryaeva EL, Pravilo SM, Razumov VV, Roslaya NA, Roslyi OF, Rushkevich OP, Semenihin VA, Serebryakov PV, Smirnova EL, Sorkina NS, Tsidil'kovskaya ES, Chasovskikh EV, Shpagina LA

Med Tr Prom Ekol · 2016 · PMID 27048142

The purpose of development of this clinical practice guidelines was to provide evidence-based protocols that help the practitioner and the patient make the right decision for the health assessment, treatment and preventi... The purpose of development of this clinical practice guidelines was to provide evidence-based protocols that help the practitioner and the patient make the right decision for the health assessment, treatment and prevention of pneumoconiosis. Pneumoconiosis is the interstitial lung disease of occupational origin caused by prolonged inhalation of inorganic dust, characterized by chronic diffuse aseptic inflammation in lung tissue with the development of pulmonary fibrosis. Currently, thereare no treatment that provide a cure pulmonary fibrosis and changes in the dynamics of decline in lung function. Regular, individually tailored treatment should be directed to the pathogenic mechanisms and some clinical symptoms of pneumoconiosis, as well as the prevention of complications. To enhance the effect of pharmacotherapy is recommended to use non-drug therapies that enhance the functionality of the respiratory system.

[Comorbid state in coal miners suffering from lumbosacral radiculopathy].

Yakovleva NV, Gorbljansky YY, Pictushanskaya TE

Med Tr Prom Ekol · 2016 · PMID 27048141

The authors considered topics of occupational and general comorbidity of occupational lumbosacral radiculopathy in coal miners (2791 examinees) observed over 1976-2014 in occupational center. In patients having lumbosacr... The authors considered topics of occupational and general comorbidity of occupational lumbosacral radiculopathy in coal miners (2791 examinees) observed over 1976-2014 in occupational center. In patients having lumbosacral radiculopathy without occupational mixed diseases, the occupational disease was diagnosed at the age 3-5 years younger, and 2-4 years earlier from primary visit. Analysis of occurrence of general comorbid conditions with lumbosacral radiculopathy revealed some regularities: patients manifested with symptoms due to vibration have more frequent arterial hypertension than in those with lumbalgia, whereas in risk group of hearing affected by noise IHD was more possible.

[Healthy lifestyle formation and lower dependence on atmosphere oxygen in working].

Usti'yantsev SL

Med Tr Prom Ekol · 2016 · PMID 27048140

Studies covered 38 males in laboratory and 81 males in industrial conditions of 13 metallurgic enterprises and revealed some reliable phenomena caused by dry voluntary apnea of 10-60 seconds. At muscular rest and during... Studies covered 38 males in laboratory and 81 males in industrial conditions of 13 metallurgic enterprises and revealed some reliable phenomena caused by dry voluntary apnea of 10-60 seconds. At muscular rest and during physical exertion, evidences are that voluntary apnea forms transitory hypercapnic portion of blood in pulmonary arterial flow. First finding is that this portion in other blood behaves as an anabolic wave carrying increased concentration of low-molecular CO2 material and releasing additional (wave, according to authors) O2 from its depot in the body. This oxygen, in conditions of increased blood pressure due to apnea, is used for synthesis of additional ATP. These phenomena characterize formation and development a new beneficial physiologic system in workers--a functional system of motivation to healthy lifestyle.

[Clinical and hygienic evaluation of health state of copper production workers in Far North].

Serebryakov PV, Kartashev OI, Fedina IN

Med Tr Prom Ekol · 2016 · PMID 27048139

The article covers disclosure of fuctional and clinical, laboratory markers of health disorders among workers engaged in major occupations of copper processing enterprise. These markers are used for early diagnosis and p... The article covers disclosure of fuctional and clinical, laboratory markers of health disorders among workers engaged in major occupations of copper processing enterprise. These markers are used for early diagnosis and prevention of respiratory diseases.

[Possibility of minimizing capital costs for organization of sanitary protection zone of enterprise].

Rapoport OA, Rudoi GN, Kopylov ID

Med Tr Prom Ekol · 2016 · PMID 27048138

The article covers topic of sanitary protection zones, from a viewpoint of decided ecologic solutions and economic content, and approach to calculation of the most optimal correlation between them. The article covers topic of sanitary protection zones, from a viewpoint of decided ecologic solutions and economic content, and approach to calculation of the most optimal correlation between them.

[Algolization of drinkable water basins in Nizhny Tagil industrial complex].

Kul'nev VV, Pochechun VA

Med Tr Prom Ekol · 2016 · PMID 27048137

The article covers experience of biologic rehabilitation through correction of algocenosis (algolization) of drinkable water basins in Nizhny Tagil industrial complex. Biologic rehabilitation of Chernoistochnik and Verhn... The article covers experience of biologic rehabilitation through correction of algocenosis (algolization) of drinkable water basins in Nizhny Tagil industrial complex. Biologic rehabilitation of Chernoistochnik and Verhne-Vyisky drinkable water basins in 2011-2012 considerably improved water quality in ecologic hydrochemical and hydrobiologic parameters--that was proved by absent water contamination with blue-green algae, lower saprobiont index. Results also are significant lower concentration of pollutants--heavy metals (ferrum, manganese, copper), oil products, decreased odor and and better water quality in hydrochemical parameters to second class according to water pollution index.

[Influence of ambient air pollutants released by metallurgic enterprises on public].

Goryaev DV, Tikhonova IV

Med Tr Prom Ekol · 2016 · PMID 27048136

State of ambient air in resident area in Norilsk city, on background of considerable and persistently high releases of chemical pollutants by major metallurgic industrial enterprises, forms risks for public health--that... State of ambient air in resident area in Norilsk city, on background of considerable and persistently high releases of chemical pollutants by major metallurgic industrial enterprises, forms risks for public health--that is supported by highly prevalent diseases of affected organs and systems in the city residents. Preserving sanitary epidemiologic well-being of this territory requires specification and implementation of hygienic, organizational, social measures to protect population dwelling in unfavorable regions.

[Economic aspects of occupationally conditioned diseases risk (exemplified by potassium salts extraction enterprises].

Goleva OI, Shliapnikov DM

Med Tr Prom Ekol · 2016 · PMID 27048135

Economic evaluation of workers' health disorders risk could include cost equivalent not of health itself, but a prevented risk for worker's health. The authors evaluated a potential underproduced output during disablemen... Economic evaluation of workers' health disorders risk could include cost equivalent not of health itself, but a prevented risk for worker's health. The authors evaluated a potential underproduced output during disablement period and changes of tax proceeds (except gross domestic product losses). This approach was tested in evaluating risk for.health of workers engaged into underground mining on potassium salts extraction enterprise. Mathematic models of unfavorable effects development enabled to follow dynamics of these effects and forecast possible development of diseases in the studied workers group.

[On industrial conditionality of diseases among copper melting enterprise workers].

Budkar LN, Kudrina KS, Karpova EA … +3 more , Obukhova TY, Shmonina OG, Kashanskaya EP

Med Tr Prom Ekol · 2016 · PMID 27048134

Health state of workers in hazardous conditions of copper melting enterprise depends on wide spectrum of somatic occupationally conditioned diseases. Economic damage from workers' health disorders due only to cardiovascu... Health state of workers in hazardous conditions of copper melting enterprise depends on wide spectrum of somatic occupationally conditioned diseases. Economic damage from workers' health disorders due only to cardiovascular diseases can be considerable. To reduce this damage, hygienic measures are necessary to improve work conditions, to preserve occupational fitness of the workers, other measures to diminish controllable factors of vascular risk and to prevent occupationally conditioned cardiovascular diseases.

[Methodology of assessing and evaluating public health risk in legal regulation of sanitary epidemiologic well-being of population].

Kuz'min SV, Gurvich VB, Dikonskaya OV … +2 more , Malykh OL, Yarushin SV

Med Tr Prom Ekol · 2016 · PMID 27048133

The authors describe method to assess and manage risk for public health in system of legal regulation of sanitary epidemiologic well-being of population. Scheme of assessment and management of occupational risks is prese... The authors describe method to assess and manage risk for public health in system of legal regulation of sanitary epidemiologic well-being of population. Scheme of assessment and management of occupational risks is presented.

[On development of partnership between Rospotrebnadzor research institutions and socially responsible business community for sanitary epidemiologic well-being of population].

Gurvitch VB, RudoiS GN, Yarushin SV

Med Tr Prom Ekol · 2016 · PMID 27048132

The article covers systemic approaches to managing risks for public health, and development of partnership between Rospotrebnadzor institutions and socially responsible business community. The article covers systemic approaches to managing risks for public health, and development of partnership between Rospotrebnadzor institutions and socially responsible business community.
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