There were studied working conditions and the state of the muscular-skeletal system in employees of the oil industry. Working conditions of employees of basic occupations are referred to the hazard Class 3.1 - 3.3. Significant physical exertion with the predominant load on the lumbar-sacral area, constrained posture, the exposure to the general vibration and adverse weather conditions contribute to the development of diseases of the muscular-skeletal and peripheral nervous system. The most perspective trend in solving problems of diseases of the muscular-skeletal system is the implementation of the complex of preventive measures including both primary and secondary prophylaxis.
Periventricular hemorrhage is bleeding from the subependymal germinal matrix, which results in severe motor disorders, mental and speech developmental delay.Purpose. The study aims to evaluate risk factors, the trends of neurological disorders, and the outcomes of neonatal periventricular hemorrhage in children whose mothers were on gravidary anticoagulant and/or antiplatelet therapy.Material and methods. The study examined 160 newborns with PVH: Group I — 53 (37.9%) children born from pregnancy on the background of antiplatelet and/or anticoagulant therapy for hypercoagulation syndrome; Group II — 87 (62.1%) children born from pregnancy on the background of antiplatelet and/or anticoagulant therapy to treat degree 1A uteroplacental blood flow disorders; Group III — 20 children born from pregnancy without corticosteroids and antiplatelet and/or anticoagulant therapy. All newborns underwent clinical and neurological examination and neurosonography; data on somatic and obstetric anamnesis were obtained from accompanying medical records.Results. In children of Groups I and II a more severe condition of newborns with periventricular hemorrhage at birth was noted, a slower dynamics of restoration of muscle-postural tone and the pace of psychomotor development were observed compared to children in Group III. In Groups I and II a high incidence of epilepsy (5.7%) and cerebral palsy (6.4%) by 12 months of corrected age was revealed compared with the population.Conclusion. Gravidary anticoagulant and antiplatelet therapy might be considered as a risk factor for the development of intracranial hemorrhages and severe neurological disorders: epilepsy, cerebral palsy, mental and motor developmental delays.
Aim. To ground and estimate the efficiency of using nonmedicamentous methods of treatment in patients with occupational radiculopathy of lumbosacral level. Materials and methods. Sixty seven patients, diagnosed occupational lumbosacral radiculopathy, were examined; patients’ neurological status, manifestation of pain syndrome by 10-score visual analog scale and neuromuscular state by stimulation electroneuromyography data prior to and after treatment were assessed. Results. Treatment-and-rehabilitation complex included magnetic-laser therapy, acupuncture, combined with curative gymnastics. By the completion of treatment, positive dynamics regarding nearly all neurological states, including reduced manifestation of painful sensations, increased volume of active movements in the lumbar spine, decreased hyperesthesia rate and hypoesthesia intensity in the zone of injured roots, decreased occurrence of Lasegue test was observed. Dynamics of electroneuromyographic parameters was expressed by improved conduction of nerve impulses through the peripheral low extremity nerves and roots L4, L5, S1 of cerebrospinal nerves. Conclusions. Application of the offered complex provided positive effect by the end of treatment in 82.3 % of cases.
Introduction. The high prevalence of circulatory diseases among workers exposed to hazardous occupational factors is an important medical and social problem. Material and methods. The study of working conditions and the state of the cardiovascular system in petrochemical workers has been carried out by using hygienic, clinical, laboratory and statistical research methods. Occupational and non-occupational factors of cardiovascular risks for workers have been studied. Results. As a result of complex clinical and hygienic studies, the contribution of occupational, non-occupational, and psycho-emotional factors to the development and progression of cardiovascular diseases in chemical workers has been established. The level of cardiovascular risk has been shown to be determined by the spectrum and intensity of the impact of occupational stress factors, the age and work-experience-related characteristics of workers Conclusion. The impact of occupational, non-occupational, psychosocial risk factors on the state of the cardiovascular system has been identified. The development and implementation of the multiple factor prevention system are imperative.
The relevance of the problem. Ensuring safe working conditions is currently an urgent problem of our time. Purpose of work. Analysis of bibliographic data on issues of occupational risk, industrial injuries among workers of the processing complex. Materials and methods. To achieve this goal, materials related to this topic were studied in the works of domestic and foreign scientists. Results. A lot of scientific works are devoted to the problem of assessing professional risk in the production of a processing complex. Modern research has proved that risk assessment is one of the main methods for analyzing the impact of various production factors on an employee. Conclusion Occupational morbidity and industrial injuries are a consequence of unsatisfactory conditions and labor protection in enterprises.
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