The article presents the results of analysis health, working conditions and prevalence adverse production factors, structure detected occupational pathology in population Russian Federation. Statistical data on dynamics share workplaces industrial enterprises that do not meet hygienic standards, morbidity 2015-2018 for main groups factors environment labor process. indicators over past 6 years context types economic activity, individual subjects Federation, classes conditions, levels...

In 2022, under the editorship of Doctor Law, Professor, Head Department Medical Moscow State Law Academy named after A.I. O.E. Kutafin Alexander Anatolyevich Mokhov, Prospect Publishing House published textbook «Medical Russia». The theoretical breadth views and comprehensive elaboration issues legal regulation medical activity healthcare organization in Russian Federation are hallmark this publication. At same time, has a structural unit - chapter 14 "Legal foundations military medicine",...

Abstract Background We investigated mortality in workers of the world’s largest chrysotile mine and enrichment factories located town Asbest, Russian Federation. Methods This historical cohort study included all employed for at least 1 year between 1975 2010 follow-up until end 2015. Cumulative exposure to dust was estimated based on workers’ complete occupational history linked measurements systematically collected from 1950s. Exposure fibers using dust-to-fiber conversion factors. Relative...

Working conditions of employees mining enterprises are characterized by class 3 (harmful) 2–4 degrees, which determine the level occupational disease. T e highest rate morbidity (111.2 cases per 10 thousand workers who have undergone periodic medical examinations) occurs in mine workers, and it is signif cantly higher than quarry workers. In underground structure disease, f rst place occupied diseases bronchopulmonary system (30.1%), — vibration disease (48.3%). ese shown an increasing trend...

Clinical recommendations (CR) are one of the tools for introducing principles evidence-based medicine into healthcare practice, application which will allow practitioners to provide high-quality and safe medical care using optimal clinical practices. The special features in field occupational health their focus not only on diagnosis, prevention, treatment rehabilitation diseases, but also highlighting issues related organization care, examination professional suitability connection disease...

Preserving the working population's health is a priority direction of state policy in labor relations, protection, and provision healthy safe conditions by employer state, prevention occupational diseases. The state's economic growth competitive era mainly due to level capacity population. This issue has acquired relevance COVID-19 pandemic for medical workers. Among these workers, incidence new coronavirus infection associated with professional duties entails high risk morbidity mortality....

Abstract Space travelers are exposed to unique forms of ionizing radiation that pose potentially serious health hazards. Prior analyses have attempted quantify excess mortality risk for astronauts space radiation, but low statistical power has frustrated inferences. If exposure deep were causally linked deaths due two particular causes, e.g., cancer and cardiovascular disease, then those cause-specific would not be statistically independent. In this case, a Kaplan-Meier survival curve...

Chrysotile, a serpentine asbestos fibre, is the only type of produced and consumed in world today. It an established human carcinogen. We have begun fieldwork on retrospective cohort study employees one world's largest chrysotile mine mills, situated Asbest, Russia. The primary aim to better characterize quantify risk cancer mortality terms (i) dose–response relationship exposure with risk; (ii) range sites affected, including female-specific cancers; (iii) effects duration latency periods....

An analysis of the literature and an essay on problem recognizing diseases workers — diagnosis causation(work-relatedness assessment) are given. A historical reference is made etiology workers’ statements classics about causality in medicine. The main categories occupational medicine terminology WHO ILO, principles evidence health considered. concept work-related (WRD), disease (OD) recognition systems under ILO Convention No. 121, features list (revision 2010), criteria for inclusion this...

Historic dust concentrations are available in a large-scale cohort study of workers chrysotile mine and processing factories Asbest, Russian Federation. Parallel (gravimetric) fibre (phase-contrast optical microscopy) collected 1995, 2007 2013/14 were used to determine if conversion factors can be estimated. Daily medians multiple parallel by sampling points derive ratios. Applying linear mixed models, we estimated best unbiased predictions for the A total 620 daily median ratios derived. In...

Mining and processing of chrysotile, an established carcinogen, has been undertaken in Asbest, Russian Federation since the late 1800s. Dust concentrations were routinely recorded at open-pit mine its asbestos-enrichment factories. We examined temporal trends these dust from 1951 to 2001. Analyses included 89290 monthly averaged gravimetric six factories (1951–2001) 1457 (1964–2001). Annual percent changes (APC) geometric mean estimated for each factory separately linear mixed models...

INTRODUCTION: Over 500 people from different countries have been to space since the first manned spaceflight in 1961. Factors of and spaceflights might cause functional somatic disorders, leading increased mortality. Our research goal was assess cause-specific risk death among Soviet Russian cosmonauts who had at least one spaceflight. METHODS: The epidemiological cohort study included 115 male cosmonauts. observation period 54 yr (January 1, 1961–December 31, 2014) 2707 person-years...

The digital transformation of the economy and society prompts renewal methods in occupational health as well. There are outlined fundamentals draft revision “Guidelines for Assessment Occupational Risk to Employee Health. Organizational methodological foundations, principles criteria assessment». R 2.2.1766-03. contains risk (OR) assessment supplied with information materials software working on Internet real-time. Algorithms models calculating probability impairment according data Special...

Introduction. In current conditions, the preservation of health able-bodied population is particular relevance and an essential task occupational ensuring social guarantees for employees. The study aims to scientifically substantiate main requirements standards aimed at preserving employees' health. Materials methods. materials harmful production factors, morbidity mining coal industry enterprises, ferrous metallurgy, aluminum plants are analyzed. We perform Cross-sectional epidemiological...

Introduction. The creation of safe working conditions allows not only to reduce the rates occupational morbidity and injuries among employees, but also increase efficiency work, which together financial losses employers. Therefore, improvement methodological approaches assessment risks is an urgent task modern preventive medicine. study aims substantiate need apply new criteria for determining level risk based on analysis in a group people exposed harmful industrial factors. Materials...

In this paper, a new approach to treating infected wounds is proposed. It based on the wound surface with high-intensity pulsed optical radiation continuous spectrum, continuously covering entire UV range (from 200 400 nm) and visible near-infrared regions of spectrum. A xenon lamp used as source. description design technical characteristics device, “Zarnitsa-A”, presented, implementing proposed medical technology for therapy. The results our studies apparatus in vitro vivo are also...

Background. We investigated mortality in workers of the world’s largest chrysotile mine and enrichment factories located town Asbest, Russian Federation. Methods. This historical cohort study included all employed for at least 1 year between 1975 2010 follow-up until end 2015. Cumulative exposure to dust was estimated based on workers’ complete occupational history linked measurements systematically collected from 1950s. Exposure fibers using dust-to-fiber conversion factors. Relative risks...

We examined risk for occupational stress evolvement caused by shift work in various groups basing on the analysis of up-to-date domestic and foreign works.The article contains brief description specific forms different countries its probable contribution into poorer quality.We detected bilateral correlation between sleep disturbance work; this is associated with psychosocial risks (including style, high demands low level control, workday length as well imbalance labor efforts payments).We...

Introduction. An essential feature of the professional activity pilots civil aviation aircraft is high intensity work due to pronounced emotional, intellectual, and sensory loads, unique modes. The study aims assess prevalence factors affecting fatigue among according an anonymous online questionnaire. Materials methods. Experts surveyed 667 members flight crews in remote questioning. We developed questionnaires under criteria for assessing work, risk development ICAO recommendations,...

Introduction. The analysis of working conditions pilots civil aviation aircraft has been carried out according to the data sanitary and hygienic characteristics (SHC). non-compliances with hygiene standards for several factors have established at same time in all SHC. Materials methods. 220 SHC pilots, who had examined clinic FSBSI RIOH due suspicion occupation disease from 2015 2019, conducting flights by plane (49%) helicopter (51%) were analyzed. methods account acoustic load, assessment...

Introduction. One of the most important directions in development health care Russian Federation is improvement approaches to maintaining workers. In order achieve this aim measures are being taken prevent occupational diseases, ensure proper quality and availability medical medicine staffing organizations. Particular attention paid preventive measures, a healthy lifestyle its promotion, identification early signs diseases. The article determine perspective for system workers with harmful...

The analysis of the medical and social aspects occupational noise-induced hearing loss (NIHL) on basis its phenomenology is presented. ear as an information receiver frequency range voice communication are considered. NIHL classifications in Russia, starting with GOST 12.4.062-78 described, overview international (WHO, 2011; ILO, 2013; UKOOA, 2003) national (Belgium, France, USA) criteria outlined. As example a civil aviation pilot audiogram was compared to different criteria; it shown that...