Herald of the Mechnikov Saint-Petersburg State Medical Academy (стр. 5 )

Nemanova Marina Germanovna – specialist first level health supervision department of Rospotrebnadzor of the Vologda region, work tel.: [phone], home tel.: [phone], mobile phone [phone], e-mail: *****@***ru

1155

© V. A. Kazantsev, А. B. Bogomolov, 2009

UDC 616.24-002:616.393

Kazantsev V. A., Bogomolov A. B. Clinical picture of out-of-hospital pneumonia in undernourished patients // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 52-56.

State Educational Establishment for Higher Professional Training «Military-medical Academy named after S. M. Kirov», Russia, 194044, Academician Lebedev str., 6, tel.: [phone], fax: [phone].

Summary: There were essential distinctions in the clinical presentation of community-acquired pneumonia in young men with normal mass of a body and with malnutrition. We concluded that the course of community-acquired pneumonia was heavier in patients with malnutrition.

Key words: community-acquired pneumonia, malnutrition, clinical presentation.

References:

1. Питание и оценка характера питания / Гастроэнтерология: национальное руководство / под ред. , . – М.: ГОЭТАР-Медиа, 2008. – С. 231-247.

2. Здоровье России: атлас / Под ред. . – М.: НЦССХ им. РАМН, 2007. – 254 с.

3. Руководство по клиническому питанию в интенсивной медицине / , , . – СПб.-Екатеринбург: Изд-во «Фарм Инфо», 2003. – 310 с.

4. Социальный градиент в формировании здоровья населения / . - М.: ПЕРСЭ, 2005. – 240 с.

5. , Питательная недостаточность / Краткое руководство по гастроэнтерологии / Под ред. , , . – М.: дом «М-Вести», 2001. – С. 348-358.

6. , Ленинградская блокада: открытия в биологии и медицине / , . - М.: Экономика и информатика, 2008. – 160 с.

7. Внебольничные инфекции дыхательных путей: руководство для врачей / , . – М.: дом «М-Вести», 2008. – 272 с.

Information about the authors:

Kazantsev Victor Alexandrovich - doctor of medicine, deputy chief of the 1st Department for advanced therapists of Military-medical Academy named after S. M. Kirov, work tel. [phone], mobile phone: [phone], fax: [phone], e-mail: Victor. *****@***ru

Bogomolov Alexey Borisovich - applicant for academic degree candidate of medical sciences, resident of Military-medical Academy named after S. M. Kirov, mobile phone: [phone], e-mail: *****@***ru

HYGIENE OF THE SURROUNDING AND INDUSTRIAL ENVIRONMENT

1143

© S. V. Nagornyi, V. Е. Novatsky, S. A. Gorbanev, V. F. Silantyev, O. I. Miroshnikova, 2009

UDC 613.6:669.263.1

Nagornyi S. V.1,3, Novatsky V.Е.2, Gorbanev S. A.2,3, Silantyev V. F.1, Miroshnikova O. I.1 Hygienic characteristic of occupational hazards in the production of high-carbon ferrochrome // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 56-61.

1The Federal State Unitary Enterprise the "Research Institute for Hygiene, Occupational Pathology and Human Ecology" of the Federal Medicobiological Agency (FSUE RI HOPHE of Russia), Russia, 188663, Leningrad region, Vsevolozhsk district, Kuzmolovsky, station Kapitolovo, bd. №93, tel.: [phone], fax [phone]; e-mail: *****@***ru; *****@***ru

2Administration of Rospotrebnadzor in Leningrad region; tel.: [phone], fax: [phone], e-mail: *****@***ru

3State Educational Establishment of Higher Professional Training «Mechnikov Saint-Petersburg State Medical Academy of the Federal Agency for Public Health and Social Development of the Russian Federation», Russia, 195067, St.-Petersburg, К-67, Piskarevsky prospect, 47, tel.: [phone], fax: [phone], e-mail: *****@***com

Summary: The main professional hazards in ferrochrome production include noise, unfavorable microclimate, low artificial light in combination with aerosols primarily of fibrogenic activity, chemicals in the dust and electromagnetic fields of industrial frequency 50Hz. Corresponding preventive measures for the decrease of harmful action of unfavorable factors on the personnel were developed and are in the process of introduction.

Keywords: ferrochrome production, occupational hazards, levels of harmful factors, chemicals concentration, maximum permissible level, sources.

References:

1. Особенности пылевой патологии в производстве хромовых ферросплавов / , // Вопросы гигиены труда и профзаболеваний рабочих химической промышленности. Межвузовский темат. сборник. - Актюбинск, 1974. – С. 7-11.

2. О канцерогенной опасности на производстве хромовых ферросплавов / , // Гигиена труда и профзаболевания. - 1973. - № 10. – С. 23-26.

3. Профессиональная патология и ее профилактика в производстве хромовых ферросплавов / [и др.] // Вопросы гигиены труда и профпатологии в металлургии: Сб. науч. тр. – М., 1972. – С. 210-216.

Information about the authors:

Nagorniy Sergey Vasilievich - Doctor of Medicine, Professor, Honoured Worker of Medicine, head of the department of General Hygiene and Human Ecology RIHOPHE FMBA of Russia, tel./fax: [phone], e-mail: *****@***ru <mailto:*****@***ru>

Novatsky Valery Evgenievich - Deputy-Chief State Sanitary Physician in Leningrad region; tel./fax: [phone], e-mail: *****@***ru

Gorbanev Sergey Anatolievich - Doctor of Medicine, Chief Sanitary Physician in Leningrad region, head of the administration of Rospotrebnadzor in Leningrad region, tel./fax: [phone], e-mail: *****@***ru

Silantyev Vladislav Fiodorovith - senior scientific worker of the department of General Hygiene and Human Ecology RIHOPHE FMBA of Russia, tel./fax: [phone], e-mail: *****@***ru

Miroshnikova Olga Ivanovna - Candidate of Medical Sciences, senior scientific worker of the department of General Hygiene and Human Ecology RIHOPHE FMBA of Russia, tel./fax: [phone], e-mail: *****@***ru

1156

© L. V. Lukovnikova1, G. I. Sidorin2, L. A. Alikbaeva3, M. V. Fomin3, 2009

UDC 613.63:615.9

Lukovnikova L. V.1, Sidorin G. I.2, Alikbaeva L. A.3, Fomin M. V.3 Biomonitoring - a means for objective diagnostics of acute and chronic intoxications of chemical etiology // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 61-65.

1State educational establishment for additional professional training «Saint-Petersburg medical academy for post-diploma training of the Federal agency for Public Health Services and Social Development», Russia, 1191015, Kirochnayay str. 41, tel.: [phone], fax: [phone], e-mail: *****@***spb. ru

2Federal state institution of science «Northwest Scientific Center of Hygiene and Population Health», Russia, 191036, 2-Soviet str. 4, tel.: [phone]

3 State Educational Establishment of Higher Professional Training «Mechnikov Saint-Petersburg State Medical Academy of the Federal Agency for Public Health and Social Development of the Russian Federation», Russia, 195067, St.-Petersburg, К-67, Piskarevsky prospect, 47, tel.: [phone], fax: [phone], e-mail: *****@***com

Summary: Biomonitoring reflects chemical substance exposure level in the enterprise deposited in the body as a cumulative dose, being a necessary addition to hygienic control over the working atmosphere. Increased concentrations of harmful substances in the body are a convincing argument for diagnosis of occupational and occupation-associated diseases of chemical etiology.

Key words: biomonitoring, biological dose, biologic parameters of exposition, risk for health

References:

1. , , Определение промышленных неорганических ядов в организме. – Л.: Медицина, 1975. – 287 с.

2. , Превращения и определение промышленных органических ядов в организме. – Л.: Медицина, 1971. – 303 с.

3. Новые подходы к регламентации свинца в воздухе рабочей зоны (по вопросам дискуссии на страницах журнала «Токсикологический вестник») / [и др.] // Гигиена и санитария. – 2000. - № 5. – С. 37-40.

4. Основные показатели физиологической нормы у человека: Руководство для токсикологов / Под ред. . – Киев: Авиценна, 2001. – 372 с.

5. Российская энциклопедия по медицине труда / под ред. . - М.: Медицина, 2005. - 627 с.

6. , , К проблеме мониторинга химических веществ // Медицина труда и промышленная экология. – 2003. - № 8. – С. 1-6.

7. Biological Monitoring of Chemical Exposure in Workplase // Guidelines. - Genewa: WHO, 1996. – Vol.1. – 300 p.

8. Elkins H. B. Analyses of biological materials as indices of exposure to organic solvents // Arch. Ind. Hyg. Occup. Med. – 1954. - № 9. – P. 212-221.

9. Teisinger J. et al. Chemical methods for the evaluation of biological material in industrial toxicology. – SZN, Prague, 1956. – P 1-128.

10. TLVs and BEIs. Based on the Documentations for Threshold Limit Values for Chemical Substances and Physical Agents Biological Exposure Indices. ACGIH. WORLDWIDE. - 1999. – 184 p.

Information about the authors:

Lukovnikova Lyubov Vladimirovna – M. D., Professor of the department of Preventive Toxicology SEE APT SP MAPDT of Roszdrav, tel. work.: 717-00-09.

Sidorin Gennady Ivanovich – M. D., Professor, head of Toxicological Laboratory FSIS «NWSC of Hygiene and Public Health» of Rospotrbnadzor, tel. work.: 8(812)717-00-09.