Analysis of factors associated with the incidence of members of locomotive crews

Aim. To analyze factors that potentially influencing the incidence of members of locomotive crews.Material and methods. The survey method was used to survey 10476 members of locomotive crews. Overall 9309 individuals were included in the analysis. The study was conducted on all railways of the Russian Federation (63 subjects of the Russian Federation). The questionnaire included: the passport part, the results of medical research (blood pressure, cholesterol and blood glucose levels), questions on workrelated risk factors, risk factors for chronic non-infectious diseases, questions reflecting the subjective opinion of member on the problem.Results. The incidence of locomotive crews members is associated (p<0,05) with the place of work, the types of rolling stock and traffic. By type of traffic, the highest incidence was observed in the members of goods trains; by type of rolling stock, the lowest incidence was among engine drivers and their assistants. The number of cases of diseases with temporary disability over the past year has been associated with rank held. Persons who have experienced temporary disability, are characterized by: 1,2 times lower daily consumption of fruits and vegetables, 1,1 times higher value of BMI and waist circumference, and 1,03 higher blood cholesterol level.Conclusion. The results show that preventive programs can be effective in reducing the incidence of locomotive crews members.

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Is it possible to build an effective program to promote the health and well-being of employees in the workplace in the Russia?

10.33920/med-03-2108-04 ◽

2021 ◽

pp. 46-56

Author(s):

Ivan Aleksandrovich Rybakov

Keyword(s):

Risk Factors ◽

Russian Federation ◽

Preventive Measures ◽

Scientific Evidence ◽

Well Being ◽

Ministry Of Health ◽

Comprehensive Health ◽

Effective Program ◽

The Russian Federation ◽

Health And Well Being

In 2019 The Ministry of Health of the Russian Federation together with experts of the National Research Center of Therapy and Preventive Medicine of the Ministry of Health of the Russian Federation has developed programs to strengthen the health of employees, which include behavioral medicine practices aimed at changing lifestyle and correcting risk factors. Scientific evidence shows the effectiveness of such programs, and new components of programs aimed at improving the well-being of employees can increase the effectiveness of preventive measures. In this article, we will review the domestic and international experience of using comprehensive health and well-being promotion programs to improve the health of employees in Russia.

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RISK FACTORS ASSOCIATED WITH NEONATAL HYPOGLYCEMIA

The Professional Medical Journal ◽

10.29309/tpmj/2006.13.04.4952 ◽

2006 ◽

Vol 13 (04) ◽

pp. 687-690

Author(s):

MUNIR AKMAL LODHI ◽

GHULAM SHABBIR ◽

NASIR ALI SHAH

Keyword(s):

Risk Factors ◽

Low Birthweight ◽

Birth Asphyxia ◽

Neonatal Hypoglycemia ◽

Factors Associated ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Associated Risk Factors ◽

Glucose Estimation

Objectives: Recurrent episodes of neonatal hypoglycemia are strongly associated with long termphysical and neuro-developmental deficits. (1) Moreover in neonates hypoglycemia can be overlooked as it may havenonspecific symptoms only. (2) This study was therefore carried out to analyse the risk factors associated with neonatalhypoglycemia and to evaluate the risk factors which have predictive value in its diagnosis. .Design: Based case controlstudy. Period: Six months from January 2005 to June 2005. Setting CMH Pano Aqil. Material and Methods: 385newborns were studied. Newborns of both civilians as well as military personnel were included in the study. 11newborns were excluded. Out of remaining 347 patients 101 were found to be hypoglycemia. Five risk factors (low birthweight, Birth Asphyxia, Neonatal sepsis, Meconeum aspiration syndrome delayed feeding ) strongly and independentlypredicated the risk of hypoglycemia. Results: The most common associated risk factor was low birth weight (47.47%)followed by delayed feeding (46.29%). Blood sampling for glucose estimation was done at birth / admission at 6 hours,12 hours, 24 hours and 48 hours. Test was initially performed by glucometer, the reading which were confirmed bylaboratory testing in border line case. Conclusions: In neonates with associated risk factors it is cost affective to carryout blood glucose levels at the time of birth and follow up readings taken as indicated by clinical progress later on.

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The epidemiological situation as a factor determining the strategy for reducing mortality in the Russian Federation

Terapevticheskii arkhiv ◽

10.26442/00403660.2020.01.000510 ◽

2020 ◽

Vol 92 (1) ◽

pp. 4-9 ◽

Cited By ~ 3

Author(s):

S A Boytsov ◽

S A Shalnova ◽

A D Deev

Keyword(s):

Risk Factors ◽

Cardiovascular Diseases ◽

Cause Of Death ◽

Russian Federation ◽

Communicable Diseases ◽

Epidemiological Analysis ◽

Non Communicable Diseases ◽

The Russian Federation ◽

Epidemiological Situation

Chronic non - communicable diseases, mainly cardiovascular diseases, are the leading cause of death worldwide, including in the Russian Federation (RF). The article analyzes the negative and positive trends of the most relevant risk factors for cardiovascular diseases for the period from 2013 to 2017, and also provides a strategy for reducing mortality in the Russian Federation for the period up to 2024 based on data from an epidemiological analysis.

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Glycemia under control

Remedium Journal about the Russian market of medicines and medical equipment ◽

10.21518/1561-5936-2021-3-54-55 ◽

2021 ◽

pp. 54-55

Author(s):

Nadezhda Kalinina

Keyword(s):

Mobile Application ◽

Vascular Complications ◽

Self Monitoring ◽

Glucose Levels ◽

Therapy Goals ◽

Blood Glucose Levels ◽

Number Of Patients ◽

Patients With Diabetes ◽

The Russian Federation ◽

Do It Yourself

Diabetes mellitus (DM) has become a global and national menace. The number of patients with diabetes in the Russian Federation tallied roughly 5.1 million, according to the incidence of outpatient visits in 2020 [1]. “Do-it-yourself” regular measurements of blood glucose levels (self-monitoring) are one of the most important components in achieving the therapy goals for patients with diabetes and preventing severe vascular complications. Now that the technologies have caught on, new “smart” glucometers appeared, which enable remote control and significantly expand opportunities of DM monitoring due to free mobile application integration.

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Dietary intake of phloridzin from natural occurrence in foods

British Journal Of Nutrition ◽

10.1017/s0007114520000033 ◽

2020 ◽

Vol 123 (8) ◽

pp. 942-950 ◽

Cited By ~ 2

Author(s):

Katherine E. Niederberger ◽

David R. Tennant ◽

Phillip Bellion

Keyword(s):

Fruits And Vegetables ◽

Food Sources ◽

Sugar Uptake ◽

Natural Occurrence ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Consumption Data ◽

Adolescents And Adults ◽

High Level ◽

Healthcare Expenses

AbstractType 2 diabetes mellitus (T2DM) is one of the major diseases of our times. Besides being a considerable inconvenience for the patient, the associated healthcare expenses are tremendous. One of the cornerstones of T2DM prevention is a healthy diet, including a variety of fruits and vegetables. Apples are touted to have health benefits, and the apple polyphenol, phloridzin, has gained interest in recent years as it can reduce intestinal sugar uptake by inhibition of the Na/glucose cotransporter 1. By researching the amount of phloridzin in different food sources and linking them to their consumption data, we could estimate the average and high-level phloridzin consumption in Europe. On average, European people consume 0·7–7·5 mg/d phloridzin, the main contributors being apples and apple juice. High-level consumers may get up to 52 mg/d of phloridzin. Older people are more at risk of developing T2DM, yet they consume less phloridzin than adolescents and adults, as determined by our survey. Management of blood glucose levels might be improved by the consumption of phloridzin, as has been shown in recent clinical trials; these trials used phloridzin-enriched apple extract at doses exceeding those from normal food consumption. There are, however, indications that consumption of average to high levels of phloridzin via food might also contribute to reduced sugar load and a reduction in T2DM risk.

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Association Between Lipoprotein(a) and Risk Factors of Atherosclerosis in Russian Population (Data of Observational ESSE-RF study)

Rational Pharmacotherapy in Cardiology ◽

10.20996/1819-6446-2019-15-5-612-621 ◽

2019 ◽

Vol 15 (5) ◽

pp. 612-621

Author(s):

S. A. Shalnova ◽

M. V. Ezhov ◽

V. A. Metelskaya ◽

S. E. Evstifeeva ◽

V. I. Tarasov ◽

...

Keyword(s):

Risk Factors ◽

Total Cholesterol ◽

Russian Federation ◽

Smoking Status ◽

Skewed Distribution ◽

Female Population ◽

Male And Female ◽

Lipoprotein A ◽

The Russian Federation ◽

Hs Crp

Experimental and clinical data indicate a significant contribution of lipoprotein(a) (Lp[a]) to the atherogenesis. However, the pathophysiological mechanisms of this relationship are not fully understood.Aim. To investigate the distribution of Lp(a) in the population of the regions participating in the Study “Epidemiology of Cardiovascular Diseases in the Regions of the Russian Federation” (ESSE-RF) and to evaluate its associations with cardiovascular risk factors.Material and methods. Representative samples of the male and female population of 7 regions of the Russian Federation, aged from 25 to 64 years, enrolled in the multi-center cross-sectional epidemiological study were analyzed. A total of 10332 people were examined, of whom 3732 were men (36.0%) and 6600 were women (64.0%), the average age was equal in both sexes.Results. The mean value of Lp(a) reached 22.4 mg/dl (standard deviation 21.3 mg/dl) and significantly differed from the median (11.1 mg/dl; interquartile range from 3.9 to 20.2 mg/dl), forming the right-skewed distribution in both male and female population. Lp(a) levels were statistically significantly correlated with the level of low-density lipoproteins cholesterol (LDL-C), ароВ/аpoAI and total cholesterol. Notably, the odds ratios were growing by quintiles, and increased along with increasing lipid values (p<0.0001). Lp(a) levels were also positively associated with high-sensitivity C-reactive protein (hs-CRP) and negatively correlated with blood concentration of glucose and triglycerides (TG). There were no associations with body mass index, waist circumference and smoking status.Conclusion. According to the ESSE-RF data, there are significant positive associations of Lp(a) with the LDL-C level, the ароВ/аpoAI ratio, total cholesterol, and hs-CRP. Negative associations are established with glucose and TG levels. The future studies should be planned with the notion of the Lp(a)’s right-skewed distribution type.

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Exposure to cholinesterase inhibiting insecticides and blood glucose level in a population of Ugandan smallholder farmers

Occupational and Environmental Medicine ◽

10.1136/oemed-2020-106439 ◽

2020 ◽

Vol 77 (10) ◽

pp. 713-720

Author(s):

Martin Rune Hassan Hansen ◽

Erik Jørs ◽

Annelli Sandbæk ◽

Daniel Sekabojja ◽

John C Ssempebwa ◽

...

Keyword(s):

Blood Glucose ◽

Fruits And Vegetables ◽

Smallholder Farmers ◽

Fixed Effect ◽

Phase Changes ◽

Activity Level ◽

Reverse Causality ◽

Mixed Effect ◽

Glucose Levels ◽

Blood Glucose Levels

ObjectivesThe risk of diabetes mellitus may be elevated among persons exposed to some pesticides, including cholinesterase-inhibiting insecticides (organophosphates and carbamates). The objective of this study was to investigate how acetylcholinesterase activity was associated with mean blood glucose levels among smallholder farmers in Uganda.MethodsWe conducted a short-term follow-up study among 364 smallholder farmers in Uganda. Participants were examined three times from September 2018 to February 2019. At each visit, we measured glycosylated haemoglobin A (HbA1c) as a measure of long-term average blood glucose levels. Exposure to organophosphate and carbamate insecticides was quantified using erythrocyte acetylcholinesterase normalised by haemoglobin (AChE/Hb). For a subgroup of participants, fasting plasma glucose (FPG) was also available. We analysed HbA1c and FPG versus AChE/Hb in linear mixed and fixed effect models adjusting for age, sex, physical activity level, and consumption of fruits and vegetables, alcohol and tobacco.ResultsContrary to our hypothesis, our mixed effect models showed significant correlation between low AChE/Hb and low HbA1c. Adjusted mean HbA1c was 0.74 (95% CI 0.17 to 1.31) mmol/mol lower for subjects with AChE/Hb=24.3 U/g (35th percentile) compared with subjects with AChE/Hb=25.8 U/g (50th percentile). Similar results were demonstrated for FPG. Fixed effect models showed less clear correlations for between-phase changes in AChE/Hb and HbA1c.ConclusionsOur results do not clearly support a causal link between exposure to cholinesterase-inhibiting insecticides and elevated blood glucose levels (expressed as HbA1c and FPG), but results should be interpreted with caution due to the risk of reverse causality.

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