No 7 (2015)

Articles
IINFLUENCE OF METEOROLOGICAL FACTORS IN DIFFERENT SEASONS ON INCIDENCE OF HYPERTENSIVE DISEASE COMPLICATIONS IN NOVOSIBIRSK RESIDENTS
Hasnulin V.I., Gafarov V.V., Voevoda M.I., Razumov E.V., Artamonova M.V.
Abstract
During 2010-2012, there were analyzed daily data about ambulance call-outs in Novosibirsk made by 2 132 440 patients. There has been calculated frequency of call-outs concerning a hypertensive crisis, myocardial infarction, acute cerebrovascular accidents per day per 1000 inhabitants, a correlation dependence of the frequency of ambulance call-outs to patients with the listed cardiovascular diseases on the main changing meteorological factors has been determined. It has been shown that in Western Siberia (Novosibirsk) conditions, the number of ambulance call-outs to patients with hypertensive crisis and vascular catastrophes had seasonal dynamics and increased to the maximum in winter and spring. This increase in hypertension exacerbations in those seasons of the year was largely due to the sharp drop in temperature combined with differences in atmospheric pressure. The detected regularity allows to attribute these meteorological phenomena to the risk factors of arterial hypertension progression. There is stressed the need for mandatory development of modern technologies of mass prevention of arterial hypertension progression using psycho-physiological non-drug and pharmacological methods of action on the basis of long-term medical meteorological and geophysical forecasts.
Ekologiya cheloveka (Human Ecology). 2015;(7):3-8
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IMPROVEMENT OF SURGICAL CARE MANAGEMENT IN PATIENTS WITH CLOSED ABDOMINAL INJURY ABOARD THE NAVY SHIPS
Mosyagin I.G., Popov V.A., Pleskach V.V.
Abstract
The article includes an analysis of experience of surgical management in patients with closed abdominal injuries aboard the naval surface ships of the Navy of the USSR and the Russian Federation during long-distance voyages, and measures for improvement of surgical care management and treatment of the patients. It has been found that deaths because of wounds and closed abdominal injuries on the Soviet Navy ships were partly caused by late diagnosis, inaccurate assessment of the degree of blood loss, non-use of paracentesis at an advanced stage of care due to lack of surgical training of ship's doctors. To save positive results in future provision of surgical care to naval sailors during extended autonomous campaigns, there is needed an increase in the number of ship groups of specialized medical care (SGSMC) within the naval clinical hospitals of the fleets. This will allow to provide surgical care in a shorter time. An analysis of organization of surgical care of the Russian Navy ships personnel fulfilling tasks in the off-shore maritime zone and the ocean areas in 2012-2013 has shown the need for creation of additional 7 SGSMC: in the Northern Fleet - 2, in the Pacific Fleet - 2, in the Baltic fleet - 1, in the Black Sea Fleet - 1, in the Caspian Flotilla - 1. There has been proved the need to include staff anesthesiologists and paramedical anesthetists in these groups.
Ekologiya cheloveka (Human Ecology). 2015;(7):9-12
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THE CORRELATION BETWEEN CONSTITUTIONAL TYPES AND GROWTH RATES OF GIRLS FROM WESTERN SIBERIA
Filatova O.V., Pavlova I.P., Vascheulova I.V., Kovrigin A.O.
Abstract
TA cross-sectional anthropometric study of 660 girls aged 7 to 17 years, residents of the City of Barnaul and the Altai Krai countryside, has been conducted. There have been detected differences of the girls' physical status depending on their residence in the urban or rural areas of the Altai Krai. The differences were represented by the greater body length (166.8 ± 6.28 cm in the city and 164.8 ± 5.36 cm in the village) and leg length (88.2 ± 6.06 cm in the city and 84.1 ± 4.21 cm in the village) of the townsgirls. The girls from the city had a significantly greater body and leg length throughout the period of the study. The longer lower limbs in relation to the torso and, correspondently, the lower values of the trochanter index were a result of the increasing rate of the prepubertal growth of the girls - residents of the city. A somatotypological analysis has revealed predominance of the normosthenic somatotype among the examined girls. In the city 50% of the girls had the asthenic somatotype, 41 % - the normosthenic somatotype, 9 % - the hypersthenic somatotype. 81 % of the rural girls had the normosthenic somatotype, 8 % - the hypersthenic somatotype, 11 % - the asthenic somatotype. The representation of the persons with the andromorphic somatotype decreased with the trochanter index increase.
Ekologiya cheloveka (Human Ecology). 2015;(7):13-19
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HEAVY METALS CONTENT IN NEWBORNS’ MECONIUM OF SMOKING MOTHERS
Kiseleva L.G., Kharkova O.A., Chumakova G.N., Soloviev A.G., Kosyakov D.S., Kozhevnikov A.Y., Ivanchenko N.L., Kosheleva A.E., Sobolev N.A., Gryzunova E.M.
Abstract
The aim of this study was to measure levels of toxic metals (lead, cadmium, nickel, chromium) in newborns' meconium samples of smoking mothers of the Arkhangelsk region. Heavy metal content was determined in the meconium with use of the inductive coupled plasma emission spectrometry and atomic absorption spectroscopy with the graphite furnace atomization technique. The prospective cohort study was conducted among 30 newborns of smoking women and 30 children of nonsmoking mothers. The levels of nickel and chromium in the newborns' meconium of the smoking women were higher than in the newborns' meconium of the nonsmoking mothers (0.36 ppm and 0.85 ppm, respectively). The mean concentrations of lead and cadmium in meconium in both children's groups were below the limit of quantification (0.25 ppm and 0.05 ppm, respectively). There was a significant correlation between the heavy metals content in the newborns' meconium and quantity of daily cigarettes of the smoking mothers. Body weight at birth was not correlated with the heavy metals content in the children's meconium, but there has been found impact of cadmium and nickel on the maximum decrease of the body weight in the early neonatal period.
Ekologiya cheloveka (Human Ecology). 2015;(7):20-26
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AGE FEATURES OF CARDIOVASCULAR SYSTEM FUNCTIONAL PARAMETERS IN ADOLESCENTS LIVING IN DIFFERENT ARCTIC AREAS
Demin D.B., Poskotinova L.V., Krivonogova E.V.
Abstract
Age features of autonomic nervous regulation of cardiac activity in 426 healthy adolescents aged 14-17 years living in areas of different latitudes, climatic and ecological conditions of the European North - in the Subpolar (64°30' N) and Polar (67°40' N) areas have been detected. Assessment of the cardiovascular system status was carried out with the use of the heart rate variability (HRV) and blood pressure (BP) parameters. The share of persons with borderline hypertension (BP level exceeded the limit of 90 percentile) also increased with age and reached 63% by the age of 17 years. Among the adolescents living in the Polar region according to the HRV and blood pressure indices, there was registered a significant increase in the proportion of persons with a predominance of sympathetic influences on the heart activity. The greatest adrenergic effects on the cardiovascular system were found in the 15-year-old adolescents of the Polar region, they had higher indices of systolic blood pressure, the heart rate and the regulatory systems stress index, as well as lower total HRV spectrum power in comparison with the 15-year-olds adolescents living in the Subpolar region.
Ekologiya cheloveka (Human Ecology). 2015;(7):27-32
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ETHICAL SYNDROMOLOGY OF MENTAL EPIDEMIOLOGY
Sidorov P.I.
Abstract
In the article, there have been analyzed the criteria of ethical normalization, which dispersion and inversion creates boundary and immoral, destructive and asocial behavioral phenomenology that is becoming an animogenetic threshold of mental epidemics. It is possible to refer an imbalance of rights and duties to the same epidemic threshold. There have been considered systematizations and classifications of moral typology allowing to separate target groups according to risk of mental epidemicity. There has been grounded adaptability in mental epidemiology of all spheres of spiritual-moral development and relationships: personal and group, public and state. There has been shown polymorphism and polymodality of ethical syndromology of mental epidemics. There has been separated fractal dynamics of personality demoralization trajectories and scales of society dehumanization allowing to differentiate epidemic targets and pest-spots, to ground forms and methods of integral logotherapeutic and psychological-psychotherapeutic correction. There has been grounded reference of happiness and welfare, healthy way and moral sense of life to the priorities of primary mental preventology.
Ekologiya cheloveka (Human Ecology). 2015;(7):33-44
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APPLICATION OF COMPUTER OPTICAL TOPOGRAPHY AS AN ENVIRONMENTALLY SAFE METHOD OF ASSESSING RECOVERY OF STATIC DISORDERS AFTER SURGICAL TREATMENT OF ANKLE FRACTURES
Li X., Moskalev V.P., Kulikova O.V., Bragina S.V.
Abstract
An ankle fracture is one of the most common human injuries. According to long-term monitoring of a number of authors, ankle fractures make up 40-50 % of all lower leg fractures. They are accompanied by damages of the joint capsule, articular cartilage, ligaments, anterior and posterior parts of the tibia, hemarthrosis. Therefore, treatment and rehabilitation require a special approach to the choice of therapy methods, control of restorative treatment quality and assessment of recovery of the locomotor function of the ankle joint. Rehabilitation of patients after ankle fractures consists of full restoration of support and movement. To implement that, there is applied physiotherapy and hydrotherapy, massage, exercise therapy, and to control restoration - a number of functional tests and auxiliary study methods. The authors have followed restoration of statics in dynamics after surgical treatment of open fractures of the ankle with the use of the computer optical topography. The method was first applied to study recovery of spinal deformity, but an indication for it can be a fracture of the lower extremity in which a load varies sharply, causing curvature of the spine and the pelvic misalignment. The method is simple, economical, has no adverse effects on patient health and the environment.
Ekologiya cheloveka (Human Ecology). 2015;(7):45-49
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EFFICACY OF SPELEOCLIMATOTHERAPY IN STUDENTS UNDER CHRONIC STRESS
Esaulenko I.E., Dorohov E.V., Gorbatenko N.P., Semiletova V.A., Zhogoleva O.A.
Abstract
The features of neuroimmunoendocrine regulation in junior students under emotional stress associated with the process of learning and assessment of possibilities of speleoclimatotherapy as a method of drug-free correction have been studied. The study involved students of the Voronezh State Medical Academy aged 17 to 20 years. Evaluation of the immune status included: count of lymphocyte subpopulations during flow cytometry using monoclonal antibodies CYTO-STAT tetraCHROME, evaluation of the phagocytic activity of neutrophils - definition of the phagocytic index, of the phagocytic number using a set Phagotest. Myeloperoxidase activity of neutrophils was assessed on the basis of spontaneous and induced tests with NBT (NBT-test), the index of neutrophil activation. The study determined the content of different types of cytokines. The cytokines were determined on the basis of flow cytometry. For study of the autonomic balance, there was evaluated heart rate variability using short segments of ECG recorded during 5 minutes. For determination of emotional stress signs in the subjects, there were used the following psychological tests: the Spielberger - Hanin anxiety test, the Zung anxiety test, the Zung depression test. It has been established that speleoclimatotherapy has possibilities to correct stress-induced changes of parameters of psychovegetative homeostasis and immunity. The biological effect of speleoclimatotherapy is based on the phenomenon of cross-adaptation, the result of which is that adaptation to the microclimate of sylvinite caves is accompanied by an increased resistance to other stress effects. In view of the mechanisms of speleoclimate effect on the neuroimmune system, it is possible to apply speleoclimatotherapy as a non-drug method of integrated prevention and correction of stress-induced disorders among medical students and other persons whose activities are related to chronic emotional stress.
Ekologiya cheloveka (Human Ecology). 2015;(7):50-57
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ASSESSMENT OF THE RELATIONSHIP BETWEEN SUBCUTANEOUS FAT TISSUE AND RESULTS OF ELECTROMYONEUROGRAPHY
Madenbay K.M., Shalkarova Z.S., Shalkarova Z.N., Zhunissova M.B., Sadykova K.Z., Nuskabayeva G.O., Grjibovski A.M.
Abstract
In this cross-sectional study we assessed the associations between the amplitude and the velocity of the potential and the volume of subcutaneous fat tissue in order to answer the question on whether the results of electroneuromyography should be adjusted for the volume of subcutaneous fat tissue in analytical studies. The sample consisted of 570 individuals who were covered by the seriveces of the policlinic of the International Kazakh-Turkish University, Turkestan, Kazakhstan. Peripheral neuropathy was assessed using a modified Neuropathy Disability Score (NDSm). The volume of the subcutaneous fat tissue was calculated using the formula proposed by Bonora (1995). Associations between the volume of subcutaneous fat tissue and the indices of the electroneuromyography were assessed using multivariable linear regression analyses. Amplitude and velocity of the potential were separately used as dependent variables. Crude and adjusted regression coefficients were calculated with 95 % confidence intervals (CI). Analyses were performed separately for participants with and without other symptoms of peripheral neuropathy. The prevalence of peripheral neuropathy in the sample was 11.4 (95 % CI: 9.1; 14.3) %. We observed inverse and statistically significant associations between the volume of subcutaneous fat tissue and the amplitude of the potential in n. peroneus, n. tibialis and n. suralis among the individuals with and without other signs of peripheral neuropathy. However, we did not observe independent associations between the velocity of the electric wave and the volume of subcutaneous fat tissue. The results of our study demonstrate the need in additional adjustment for the volume of subcutaneous fat tissue in studies in studies with the use of electroneuromyography for example is studies on neuropathy among patients with Type II diabetes mellitus or metabolic syndrome to control for the confounding effect of the former.
Ekologiya cheloveka (Human Ecology). 2015;(7):58-64
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