The results of medical care with employees of remote offshore and industrial facilities in oil and gas production in the Russian North are presented over the past two decades. Best practices, providing maximum efficiency, including risk assessment and management, emergency planning, telemedicine, staff training in basic medical concepts and first aid, formation and maintenance of staff health registers. Each of the areas significantly improved medical statistics.
Despite of great number of investigations in the area of tinea pedis, question is opened: to what extent dermatophyte fungi are spread among modern population and does their occurrence interrelated with host age? Investigated group included 99 volunteers from 14 to 73 years old. Skin scales were collected from heel area of foot, and signs of heel skin trouble were expressed in points. In contrast to usual laboratory microscope magnification x900 we worked at x1750, what allowed to estimate not only fungal, but bacterial forms too. Average abundances of microbial morphotypes were expressed in points. Heel skin trouble increased in the process of aging (Pirsons` coefficient r=0.954). Bacilli occurred in all persons independently from age, but their abundance increased with aging (0.821). On the contrary cocci were more common and abundant in young person`s feet (-0.620). Occurrence of dermatophytes increased with age (0.891), at that relatively high values took place in young persons (10.5% with mycelium and 73.7% with spores) and in group without any heel skin trouble symptoms (7.7% and 76.9%), what allow to refer these fungi to normal habitats of foot skin.
The aim of the study was the need to theoretically and experimentally substantiate the technology of diagnostics and correction of maladjustment changes in the psychoemotional sphere of seafarers at the stages of a long voyage. Materials and methods. The material of the research is dynamic observation in the form of psychological testing, carried out during a long voyage of the crew (n = 48 people) of the BMRT fishing vessel (large freezer fishing trawler) with the home port of Murmansk. The age of the fishermen varied from 22–36 years and averaged 27.0±0.84 years, the duration of the cruise was 152 days to catch fish in the Southwest Atlantic. The subjects belonged to different professional groups, and had worked at sea from 3 to 11 years (M = 5.4±0.26). The research methods were valid methods applied in a complex: a modified eight-color test by M. Luscher, personality questionnaire “EPI” by G. Aysenk, psychodiagnostic test “General assessment of personality” by V.М. Melnikov and L.T. Yampolsky, the MMPI questionnaire «Personal scale of manifestations of anxiety, the questionnaire» Life style index «(«LSI») Kellerman-Plutchik-Conte for identifying types of psychological defenses, the test for the study of reactive and personal anxiety Spielberger-Khanin and the test card SAN (test questionnaire Mini-cartoon). Results and discussion. the study showed that continuous (more than 3 months) fishing in the sea leads to changes in the psycho-emotional sphere of fishermen, manifested in the appearance of signs of psychological maladjustment. The majority of those examined as the leader have a trophotropic (non-optimal) type of mental adaptation to conditions of long-term work at sea, characterized by a decrease in the psychophysical reserves of the body, increased anxiety with the choice of a strategy of passive adaptation to extreme environmental conditions.
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