scholarly journals CHANGE OF THE FUNCTIONAL STATE OF THE ORGANISM OF MEDICAL PERSONNEL OF THE PERINATAL CENTER IN THE DYNAMICS OF THE WORK SHIFT

2015 ◽  
Vol 23 (3) ◽  
pp. 61
Author(s):  
E P Kotelevets ◽  
V A Kiryushin
Keyword(s):  
Functional State ◽  
Medical Personnel ◽  
Work Shift ◽  
Perinatal Center

scholarly journals Difficulties in breastfeeding: ways to solve the problem

2021 ◽  
pp. 7-13
Author(s):  
E. Z. Polyanina
Keyword(s):  
Medical Personnel ◽  
First Year ◽  
Mixed Feeding ◽  
Herbal Tea ◽  
Lactation Disorders ◽  
Early Postpartum ◽  
Nursing Mothers ◽  
Long Time ◽  
Perinatal Center ◽  
Group 2

Introduction. Practical assistance of medical personnel to nursing women with difficulties in breastfeeding, joint search for solutions to the problem of hypogalactia contributes to the preservation of breastfeeding throughout the first year of a baby’s life.Purpose of the study. The frequency and nature of lactation disorders in women in the first weeks and months of breastfeeding were studied.Materials and methods. The attitude of women to various, including non-drug, methods of maintaining lactation was analyzed. The study was conducted following a survey of 58 women – patients of the perinatal center in the early postpartum period, 28 women whose children received breastfeeding/mixed feeding in the 1st year of life and 16 female employees of neonatological departments, whose children were also breastfed/mixed feeding in the 1st year of life. With women in groups 1 and 2 in the obstetric facility, there were talks about the benefits of breastfeeding and instructions on how to properly latch on the newborn to the breast. The respondents participated in the study only voluntarily.Results and discussion. Revealed approximately the same nature of lactation disorders in all groups. The predominance of women with hypogalactia after preterm birth was noted; breastfeeding up to one and a half to two years was observed in 4% of young women without chronic somatic pathology after the first spontaneous birth. Respondents of groups 1 and 3 showed high awareness and greater adherence to non-drug correction of hypogalactia in the form of the use of herbal tea. At the same time, some of the respondents in group 2 showed low motivation to maintain breastfeeding and were skeptical about any way to maintain lactation. Among the surveyed respondents, 47% (48 women out of 102) used herbal tea for a long time (3–6 weeks or more). All of them characterized as an effective lactogonic agent, and also noted a calmer behavior of the child, a decrease in intestinal colic and an improvement in the quality of night sleep.Conclusions. A data analysis of the survey of nursing mothers and women who had a breastfeeding experience showed that there is approximately the same pattern of lactation disorders regardless of the woman’s age, high or low awareness of breastfeeding issues.

scholarly journals ADAPTIVE ABILITIES OF THE MEDICAL STAFF OF MATERNITY HOSPITALS

2020 ◽  
Vol 99 (1) ◽  
pp. 56-62
Author(s):  
Elena P. Kotelevets ◽  
V. A. Kiryushin ◽  
N. I. Prohorov ◽  
P. I. Melnichenko
Keyword(s):  
Preventive Measures ◽  
Low Frequency ◽  
Medical Personnel ◽  
Labor Process ◽  
Total Power ◽  
Autonomous Nervous System ◽  
Work Shift ◽  
Regulatory Systems ◽  
Adaptive Capabilities ◽  
Maternity Hospitals

Introduction. The aim is scientific planning of preventive measures based on the assessment of adaptive capabilities of the organism of medical personnel of maternity institutions in the dynamics of the work shift. Material and methods. With cardiointervalogram variation of the studied indices of the cardiovascular and autonomous nervous system in obstetricians-gynecologists, neonatologists, nurses - midwives, nurses - anesthetists, ward nurses of perinatal centers and maternity hospitals in cities of Ryazan, Smolensk, Lipetsk, and Kolomna at the beginning and at the end of the work shifts. Results. The analysis of heart rate variability revealed significant statistical differences in a number of indices of the spectral region (the decline in values of sympatho-parasympathetic balance (LF/HF), the amplitude of very low-frequency waves (LFW), increase in the total power (TP), as well as an increase in the index of activity of regulatory systems (IARS) (p<0.05), established the relationship between the IARS at the end of the shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, nurses-anesthetists, and midwives of perinatal centers. Conclusion. The revealed direct correlation between the IARS at the end of the work shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, medical nurses-anesthetists, and midwives of perinatal centers confirms the results of hygienic studies of the labor process intensity and allows planning preventive measures.

PSYCHOPHYSIOLOGICAL ASSESSMENT OF THE LABOR OF MEDICAL WORKERS IN ORGANIZATIONS WITH COVID-19

2021 ◽  
Author(s):  
A.V. Zaitseva ◽  
◽  
V.V. Serikov ◽  
H.T. Oniani ◽  
Keyword(s):  
Cardiovascular System ◽  
Functional State ◽  
Statistical Processing ◽  
Medical Personnel ◽  
Systemic Arterial Pressure ◽  
The Body ◽  
Labor Process ◽  
Stress Factors ◽  
Hazard Class ◽  
Autonomic Index

Abstract. Introduction. High neuro-emotional stress among medical workers in organizations with the leading harmfulness of Covid-19 contributes to the formation of an unfavorable functional state, increases the risks of health disorders. The study of the characteristics of the psychophysiological reactions of the body will allow to substantiate the timing of work in a pandemic, which is quite relevant at the present time. The purpose of the research was, on the basis of comprehensive psychophysiological studies, to study the features of the formation of a functional state in medical personnel working in organizations with COVID-19 under the influence of stress factors of the labor process. Materials and methods. A physiological and hygienic assessment of the intensity of the labor process was carried out, psychophysiological changes were studied during 3 months of work in the «dangerous» zone. Statistical processing of the obtained data was carried out using the statistical programs Statistika 10, Microsoft Excel 2010. Results. The formation of neuropsychic stress in medical workers is reflected in changes in ECG indicators (prolongation of the QT interval, decrease in the voltage of the P and T waves) and systemic arterial pressure, an increase in the endurance coefficient (an indicator of detraining of the cardiovascular system), positive values of the Kerdo autonomic index (predominance of sympathetic influences) after 3 months of work in medical organizations with Covid-19. Conclusions. Nervous and emotional tension at work is the leading professional factor among nurses and doctors working in medical institutions with Covid-19 (hazard class 3, grade 3). Indicators of the cardiovascular system, reflecting the degree of adaptation of the body of medical workers to production activities, can be used to justify different periods of work in organizations with Covid-19.

scholarly journals Conditions, determining timeliness of newborn vaccination at perinatal center

2019 ◽  
Vol 36 (5) ◽  
pp. 52-57
Author(s):  
O. A. Kuznetsova ◽  
A. A. Golubkova ◽  
N. V. Bashmakova
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Medical Personnel ◽  
Controlled Study ◽  
Individual Approach ◽  
Maternity Hospitals ◽  
Perinatal Center ◽  
Prospective Controlled Study

Aim. To assess the volume of immunopreventive work at the perinatal center. Materials and methods. In the cohort prospective controlled study, the coverage of newborn vaccination at maternity hospitals and the reasons of parents refusals from vaccination were evaluated Results. The specific features of vaccination of the newborns born from women with gestational diabetes mellitus and fetoplacental insufficiency were determined; sociological questioning was carried out to assess parents attitude to vaccination, Conclusions. The results of the study showed that the process of vaccination at perinatal center has its peculiar features. Each infant needs individual approach. The role of medical personnel in formation of loyalty to vaccination is undoubtful.

Dynamic study of the nervous muscular system of machine operator at the engine make

2020 ◽  
pp. 695-695
Author(s):  
A. G. Merkulova ◽  
S. A. Kalinina ◽  
V. E. Bogdanova
Keyword(s):  
Functional State ◽  
Labor Process ◽  
Neuromuscular System ◽  
Muscular System ◽  
Work Shift ◽  
Hand Muscles ◽  
Machine Operators ◽  
Neuromuscular Apparatus ◽  
The Right ◽  
Machine Operator

The article is devoted to the study of the functional state of the neuromuscular apparatus of manual workers. Dynamom-etry and tremorometry of the right-hand muscles on the machine operators of the engine make in the dynamics of the work shift were carried out. Analysis of the results revealed an overstrain of the neuromuscular system under the influence of the labor process.

scholarly journals Assessing functional state of the body when wearing a reusable protective suit to minimize risks of contagion among medical personnel

2021 ◽  
pp. 152-161
Author(s):  
A.B. Yudin ◽  
◽  
M.V. Kaltygin ◽  
E.A. Konovalov ◽  
A.A. Vlasov ◽  
...  
Keyword(s):  
Functional State ◽  
Health Risks ◽  
Personal Protective Equipment ◽  
Thermal State ◽  
Medical Personnel ◽  
The Body ◽  
Protective Equipment ◽  
Negative Effects ◽  
Cardiorespiratory System ◽  
Psychophysiological State

Personal protective equipment has become the last line of protection for medical personnel during the pandemic of the new coronavirus infection since it allows minimizing risks of biological contagion. Given the existing staffing shortage, medical workers have to spend from 4 to 12 hours a day in the “red zone” where they necessarily wear personal protective equipment. Protective clothing is known to produce negative effects on functional state of the body and personnel’s working capacities. Assessment of up-to-date protective suits will allow developing recommendations on their suitable application bearing in mind a balance between necessary protection, providing favorable ergonomics, and reducing risks of adverse effects on functional state and working capacities. Our research aim was to hygienically assess health risks for medical workers who had to wear reusable protective suits. Our research object was a reusable suit made from polyether fabric with polyurethane membrane coating and antistatic threads. We performed an experiment aimed at evaluating thermal state of the body, psychophysiological state, and responses by the volunteers’ cardiorespiratory system in laboratory conditions during an 80 hour working shift under controlled microclimate. Participants in the experiment were questioned in order to assess suits’ ergonomics. Heat exchange dynamics and amount of changes in thermal physiological parameters caused by wearing a protective suit determined heat contents of volunteers’ bodies that conformed to optimal standard values. Data on psychophysiological and mental state taken in research dynamics didn’t have any statistically significant changes. Gas exchange indicators naturally grew during the “load” phase; however, there were no significant changes detected in any phase in the research. Hygienic assessment of the thermal state, functional state of the cardiovascular and respiratory systems, and psychophysio-logical indicators confirmed that wearing a protective suit was quite safe and didn’t involve any health risks for volunteers.

scholarly journals The impact of the labor process severity on the formation of health disorders of protected ground grower

2021 ◽  
Vol 100 (6) ◽  
pp. 598-604
Author(s):  
Anna G. Migacheva ◽  
Tamara A. Novikova ◽  
Vladimmir F. Spirin
Keyword(s):  
Functional State ◽  
Work Experience ◽  
Working Environment ◽  
Labor Process ◽  
Cardiorespiratory System ◽  
Work Shift ◽  
Functional Changes ◽  
Adaptive Capabilities ◽  
Health Disorders ◽  
The Impact

Introduction. The severity of the labor process is one of the leading harmful factors of working conditions in greenhouse vegetable growing. Nevertheless, its influence on the formation of health disorders of vegetable growers has not been sufficiently studied. Material and methods. Physiological, hygienic and epidemiological studies were carried out, which included an assessment of the severity of work in the annual cycle, also the functional state of the cardiorespiratory system and the neuromuscular system in the dynamics of the work shift, the general morbidity of vegetable growers according to registration forms No. 025/y. Results. During the labor activity, vegetable growers were established to be exposed to physical overloads caused by the severity of the labor process (classes 3.2, 3.3) in combination with a heating microclimate (classes 3.1-3.3). By the end of the work shift, there was an increase relative to the initial levels of heart rate (p<0.05), a decrease in systolic and diastolic blood pressure, a reduction of maximum muscle strength (by 3.76-5.28%), and endurance of the muscles of the hands (by 18.5-33.15%). This indicated a decrease in working capacity and an increase in fatigue. A reduction in the Skibinski index (by 21.7%) and an increase in the index of resistance to hypoxia (by 38.9%) indicated a decrease in the body’s reserves of oxygen. Increased working levels of the index of functional changes testify about the tension of adaptation mechanisms and insufficient restoration of the body’s resources by the beginning of the shift. A decrease in the body’s physical condition and adaptive capabilities with an increase in professional experience was revealed (p<0.05). There were established statistically significant direct correlations between the prevalence of diseases of the circulatory system (r=0.6), musculoskeletal system, and connective tissue (r=0.35) with work experience in the profession (p<0.05). Conclusion. The revealed violations of the functional state and health of female vegetable growers result from the influence of physical overload in a heating microclimate. The priority measures for the prevention of health disorders of vegetable growers are to reduce physical overload and thermal effects of the working environment.

scholarly journals Functional condition of the central nervous system of medical personnel of maternity hospitals

2020 ◽  
Vol 28 (1) ◽  
pp. 37-43
Author(s):  
Elena P. Kotelevets ◽  
Valery A. Kiryushin
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Nursing Staff ◽  
Medical Personnel ◽  
Well Being ◽  
Functional Condition ◽  
Work Shift ◽  
Professional Groups ◽  
Maternity Hospitals ◽  
The Central Nervous System

Aim. Analysis of functional capacities of the central nervous system (CNS) of medical personnel of maternity hospitals in the dynamics of the work shift. Materials and Methods. Using the WAM method, the functional condition of the central nervous system of doctors (obstetricians, gynecologists, neonatologists), nurses (midwives, anesthesiologists, ward nurses) in perinatal centers and maternity hospitals in the cities of Ryazan, Smolensk, Lipetsk, and Kolomna at the beginning and end of the work shift was studied. Results. Analysis of parameters of operational self-assessment of the functional state of the central nervous system (well-being, activity, mood) revealed the dynamics of reducing the levels of well-being and activity of the main professional groups by the end of the work shift. Calculation of the W+A/M index in the dynamics of the working shift showed its reduction in obstetricians-gynecologists and neonatologists of perinatal centers by 5.0% (p=0.024174) and 10.6% (p=0.026637), respectively; by 10.6% in maternity hospitals in both professional groups (p=0.037452 and 0.039579). Among the nursing staff of perinatal centers, the index decreased in midwives and nurses anesthesiologists by 5.3% (p=0.000752) and 10.6% (p=0.000752), respectively. In groups of nursing staff of maternity hospitals, decrease in the index was determined in anesthesiologists, midwives and ward nurses by 16.7% (p=0.006566), 10.6% (p=0.003385) and 11.2% (p=0.001059), respectively. Conclusion. Statistically significant differences were found in the analysis of well-being parameters of neonatologists and midwives of perinatal centers, in all the studied respondents of maternity hospitals; of activity in obstetrician-gynecologists, neonatologists and midwives of perinatal centers, in all surveyed respondents of maternity hospitals; of W+A/N index in obstetrician-gynecologists, neonatologists, midwives, in anesthesiologists of perinatal centers and in all studied professional groups of maternity hospitals. Reduction of the functional condition of the central nervous system by the end of the work shift may indicate developing fatigue.

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