[ROLE OF FACTORS OF THE ENVIRONMENT OF EDUCATION AND TRAINING IN THE FORMATION OF THE DYSPLASIA OF THE CONNECTIVE TISSUE IN TEENAGE YEARS].

Negative trends of indices of the incidence in children and teenagers in the Russian Federation are caused by essential changes in the system of training and medical care of school students. In cases of connective tissue dysplasia (CTD) when the gene defect is remains to be unascertained, there is a great role of environmental factors contributing to the implementation of pathology and hygienic measures of the prevention of complications. There was performed the hygienic assessment of sanitary-epidemiologic welfare (SEW) of the educational institutions (EI) of the city of Omsk (n = 76), including the study of environmental factors, health and performance of adolescents. For the correction priority factors for SEW were "medical care", "mode and organization of the educational-training process", "conditions and organization of nutrition", "conditions and organization of physical education." There are determined the most important for the occurrence of CTD indices lifestyle factors and "indicators" of the risk for the progression of pathological processes in adolescents.

[The working conditions at animal farm complexes of workers with occupational brucellosis].

According to sanitary-and-hygienic characteristics of working conditions, cards certification of working conditions at workplaces, cards of epizootologo-epidemiological inspection of the zoonotic disease' centres and medical records of outpatient working conditions of 134 workers of cattle-breeding complexes of Omsk region, professional brucellosis' patients are studied. Harmful factors of working conditions' workers of cattle-breeding complexes are the biological factor, weight and intensity of labour process (a 3.2-3.3 class), factors increasing risk of occurrence professional brucellosis were absence of preliminary at receipt for work and/or irregularity periodic physical examinations, infringements of sanitary-and-epidemiologic mode, lack of awareness of workers about the possibility of brucellosis' contamination in the workplace.

[Sociohygienic monitoring of the working conditions of workers at an aircraft engine factory].

The authors have improved, modified, and introduced a sociohygienic monitoring model proposed by Yu. V. Erofeyev, V. V. Dalmatov, and D. V. Turchaninov (2007) in the P. I. Baranov engine association and proposed objective criteria for evaluating the work space.

[Efficiency of complex rehabilitation in chronic obstructive pulmonary disease and occupational bronchitis].

AIM: To evaluate the efficiency of the rehabilitation in patients with obstructive pulmonary disease (COPD) and occupational bronchitis (OB) and the disabled due to these diseases, which was based on the authors' developed procedure and criteria for evaluating the efficiency of rehabilitative measures. MATERIALS AND METHODS: The efficiency of implementation of 55 individual rehabilitation programs (RP) elaborated by the Medicosocial Examination Bureau for the disabled due to COPD and OB was evaluated. RESULTS: The authors have determined qualitative criteria for evaluating the efficiency of rehabilitation: the extent to which the recommended rehabilitation measures being implemented, the trend in the magnitude of various vital activity categories and social inadequacy and in the disability group on regular examination, the results of implementation of some parts of an individual RP, the conformity of the achieved results to the rehabilitation potential of a disabled patient. The evaluation procedure supposes a unified quantitative gradation of each criterion. Overall, rehabilitation is more effective in COPD than in OB. CONCLUSION: The developed criteria and procedures for evaluating the efficiency of rehabilitation in patients with COPD and OB show a great informative value and practical content richness, which permits one to make corrections into the rehabilitation process. Functional impairments, the degree of vital activity restrictions and social inadequacy, as well as the rehabilitation potential and rehabilitation prognosis are concomitantly evaluated, which allows minor changes to be assessed in the clinical, personality, and social status of a patient.

[Clinical aspects of rehabilitation potential in patients with chronic obstructive pulmonary disease].

AIM: To reveal and evaluate clinical signs influencing rehabilitation potential in COPD patients. MATERIAL AND METHODS: Clinical findings in COPD patients were analysed at medical and social expert examination (MSEE). RESULTS: Progression of the pathological process is associated with aggravation of chest pain, fever, sputum discharge at coughing. Cough and dyspnea occurred in all the examinees irrespective of the disease etiology. Severity of respiratory failure correlated with severity of COPD. Respiratory and circulatory failure aggravate quality of life. The study determined clinical signs in patients with COPD of various etiology which influence rehabilitation potential of COPD patients. This helped specification of disability criteria and certification. Conclusion. In MSEE of COPD patients it is necessary to base on the patient's complaints, duration of the disease, severity of functional respiratory and circulation failure, complications, social problems.

[Long-term effect of petrochemical production on girls and young women during vocational training and work]. / Otdalënnye posledstviia vliiania na organizm devushek i molodykh zhenshchin osnovnykh faktorov neftekhimicheskogo proizvodstva v protsesse professionalnoi podgotovki i trudovoi deiatelnosti.

A complex of hygienic, clinical, statistical and experimental studies established the relationship, magnitude, nature, and mechanism of changes in the body of girls who are engaged in petrochemical industry and in contact with the occupational factors of current petrochemical production. The most significant and prognostically poor factors include disturbances in the formation and realization of reproductive function (a menstrual cycle, pregnancy course, labor, postpartum period, posterity health), which were experimentally evidenced (gonadotoxic, embryotropic, mutagenic, and teratogenic effects were found to be shown by a number of hydrocarbons in concentrations not exceeding the allowable ones).

[Effect of small doses of toxic substances and noise on the reproductive function of young animals]. / Deistvie malykh kontsentratsii toksicheskikh veshchestv i shuma na reproduktivnuiu funktsiiu molodykh zhivotnykh.

Possible combined effect of toluene and isopropylbenzene in concentrations of 0.5 of MAC was experimentally studied along with their combined effect with noise at the permissible for adolescents level IIC-65 on the reproductive function of white rats. The animals had been exposed to a complex of factors for 120 and 15 days prior to the appearance of pregnancy. The data thus obtained demonstrated the possibility of the appearance of the reproductive function impairments in young female workers after their short-term occupational exposure to the above factors and indicated the necessity of the development of effective preventive measures.