The authors reviewed literature on influence of occupational vibration on workers. The data presented cover changes of antioxidant, immune and hormonal state, central nervous system disorders, alterations of hemopoiesis, muscular and connective tissues.
The authors studied antioxidant therapy in complex preventive treatment of vibration disease. Findings are high therapeutic efficiency of thioctic acid — better lipid and carbohydrates metabolism parameters, endoneural circulation due to antioxidant, membrane protective, lipotropic and hypoglycemic effects.
Introduction: Health maintenance in workers implies assessment of occupational risks and development of techniques of their elimination in order to increase labor efficiency and working life expectancy. Objective: To develop the system for maintaining health of social workers based on occupational risk assessment and management. Materials and methods: In 2019–2022, studies of working conditions, socio-demographic status, and psychological wellbeing of social workers were conducted in the clinic of F.F. Erisman Federal Research Center for Hygiene. Results: We established groups of social workers at risk of health disorders, such as common diseases and various manifestations of occupational burnout, including groups with null, early, and severe signs of job burnout, and elaborated programs for disease prevention incorporating targeted techiques of health maintenance. Conclusion: We provide a rationale for the system of preserving physical and mental health of social workers that contains various modules aimed at optimizing working conditions, mitigating risk factors, preventing health disorders, including occupational burnout, and promoting a healthy lifestyle.
Introduction. In response to the action of various occupational factors, central regulatory mechanisms, including the hypothalamus, are involved. Clarification of the influence of the hypothalamus on the indicators of peripheral blood circulation, peripheral innervation and bone metabolism under the influence of vibration and physical overloads is relevant for the diagnosis and treatment of occupational diseases of a neurological profile. The aim of the study. To establish the relationship between hypothalamic disorders and functional indicators of occupational diseases of the peripheral nervous system under the influence of vibration and physical overloads. Material and methods. One hundred fifteen tunnellers and machinists of the drilling rig of JSC “KMAruda Combine”, 26 tunnellers of the drainage mine of JSC “Stoilensky Mining and Processing Plant”, 65 workers of auxiliary occupations were examined. Depending on the influencing factor, they were divided into four groups with occupational neurological pathology, the fifth group was control Examined cases were divided into subgroups: A - without hypothalamic disorders and B - with hypothalamic syndrome. The criteria for the diagnosis of hypothalamic syndrome are clinical. All the examined patients underwent rheovasography, stimulation electroneuromyography of the extremities, ultrasound densitometry. Results. It was found that in patients with vibration disease from the effects of local or general vibration, especially when combined with lumbosacral radiculopathy during rheovasography, there are decrements in pulse blood filling, changes in vascular tone in vessels of various calibers and venous dysfunction, which are aggravated against the background of hypothalamic disorders. Hypothalamic disorders contribute to the aggravation of peripheral nerve indices: a decrease in the amplitude of the M-response, the rate of propagation of excitation along sensory axons and an increase in the value of residual latency. Functional assessment of bone tissue revealed the greatest prevalence of osteopenia syndrome in patients with vibration disease and its combined forms with lumbosacral radiculopathy in subgroups with hypothalamic-pituitary dysfunction (up to 33.6%). The frequency of detected functional disorders was established to increase with the progression of occupational diseases. Limitations. The study was conducted in workers with neurological occupational diseases exposed to vibration and physical overloads. Conclusions. Neurohumoral disorders, manifested by hypothalamic syndrome caused by exposure to general and local vibration in combination with physical overloads, contribute to the development or aggravation of functional changes in the body of workers, aggravating the course of occupational diseases of the peripheral nervous system, which can be used to develop diagnostic and treatment methods, and study the pathogenesis of diseases.
The study of the hormonal status of workers in vibration-hazardous professions served as the basis for the development of a complex of health measures, including the earlier identification of clinical and biochemical markers of androgen deficiency, the formation of risk groups at the preclinical stage of the disease, hygienic and therapeutic and preventive measures with the use of an antioxidant drug.
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