Reduced heart rate variability (HRV) is associated with the elevated mortality rate in patients with cardiovascular disease. Risk factors, in terms of the negative impact on the cardiovascular system of workers of oil production include noise, vibration, the severity of the labor process, climate, lighting, and various chemicals presenting in the working area (the total of various hydrocarbons, including aromatic hydrocarbons, disulfide sulfur). HRV indices were recorded daily by Holter monitoring. Employees with the work experience at oil production from 10 to 20 years were established to have a statistically significant increase in tone of the sympathetic nervous system, characterized by the decline ofpNN50 by 2.2 times and the increase of the vagal tone, characterized by an increase in SDANN by 1.4 times and SDNN - by 1.3 times. A significant dependence of the probability of the increasing of the tone of the sympathetic nervous system from work experience was established. Thus, the impact of hazards of oil-producing enterprise is associated with prognostically unfavorable changes in HRV. These changes may exacerbate hypertension in employees, which requires measures for the primary prevention of cardiovascular diseases.
Deep mining is widely spread in Russia; therefore, it is truly vital to determine how labor resources in the branch can be preserved. Adverse working conditions cause elevated risks of not only occupationally induced diseases, but also production-related ones, make medical and social consequences of such diseases even worse, and result in a decrease in overall labor potential of a society. Miners’ working conditions are ones of the most adverse. When participating in technological processes, workers are exposed to a set of adverse and dangerous industrial factors, both common for any deep mining and specific ones related to a type of mineral resources which are mined. We performed a complex assessment of working conditions existing in deep mining of chromic ores in order to detect risks of chronic diseases for miners as well as to determine an extent to which such diseases were production-related. We revealed that working conditions for miners involved in chromic ores mining were associated with joint negative effects exerted by physical and chemical factors of the working process; as per this combination of factors, they can be assigned into “adverse working conditions with 3–4 hazard degree” category. Workers involved in deep mining at chromic mines ran 1.5–5.2 times higher relative risks of cardiovascular system diseases, respiratory system diseases, endocrine system diseases, and hearing organs diseases, than personnel employed at mines but dealing with production processes on the surface. Nervous and respiratory system diseases, endocrine pathologies, and hearing organs diseases in miners employed at chromic mines were to a great extent production-related while cardiovascular system diseases less significantly depended on industrial factors.
The article describes the risk factors, peculiarities of the production exposure, changes in laboratory and functional indices in the presence of the development of respiratory diseases in workers occupied in titanium and magnesium production. The obtained data of the present study demonstrate the availability of both the early diagnosis on the stage of the prenozological states and efficient preventive measures.
Introduction. Harmful working conditions, specific for titanium production enterprises, pose a potential risk to the workers health, and, primarily, concerning the development of respiratory pathology. Material and methods. The observation group consisted of 111 smelters of titanium alloys; the average age is 35.9 ± 2.7 years; the average term of service is 11.4 ± 6.3 years. The comparison group included 47 representatives of the enterprise administrative apparatus of the same age (37.4 ± 1.5, p> 0.05), having an average work experience of 12.8 ± 2.3 years (p> 0.05). The analysis of medical documentation, working conditions, a comprehensive survey of workers, static processing of the results was carried out. Results. Working conditions at workplaces for smelters are classified as “harmful”, the degree of harmfulness acconted of 3-4 (the class of working conditions 3.3 - 3.4). In the structure of the overall morbidity of the examined observation group, respiratory pathology ranked first and was characterized by a high degree of production causality (RR = 2.90; 95% CI = 1.81-4.64; EF = 65.49%). According to the ECHO-DKG data, 10.8% of titanium alloy smelters with 12.3 ± 3.5 years of experience had thickening of the interventricular septum, increased pressure in the pulmonary artery and the presence of right ventricular diastolic dysfunction. Discussion. Smelters have chronic catarrhal inflammation of the mucous membranes of the upper respiratory tract in the first year of operation; the activity of the pathological process increases significantly with the experience of 10 years and is accompanied by the predominance of the hyperplastic nature of inflammation with an increase in work experience of more than 10 years. Subsequently, the lower parts of respiratory tract are involved in the process. With an experience of 12.3 ± 3.5 years, reversible violations of the bronchial patency become persistent irreversible, which is accompanied by the development of basal emphysema of the lungs and morphological restructuring of the right heart. Conclusion. Because of combined long-term exposure to dust, a fine fraction and compounds of chlorine and chlorine vapor, causes the damage of the airways at all levels of the respiratory tract.
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