Assessment of indicators of nervous and emotional stress in medical center personnel depending on the characteristics of their professional activity

2020 ◽  
Vol 60 (10) ◽  
pp. 650-657
Author(s):  
Irina V. Fedotova ◽  
Tatyana N. Vasilyeva ◽  
Tatyana V. Blinova ◽  
Irina A. Umnyagina ◽  
Yuliya V. Lyapina ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Emotional Stress ◽  
Functional State ◽  
Working Conditions ◽  
Medical Staff ◽  
Medical Center ◽  
The Body ◽  
Office Workers ◽  
Glutathione System ◽  
Medical Centers

Introduction. Digital technologies are actively used in the work of specialists of medical centers of various profiles, which causes the impact on employees of a number of professional factors that determine the characteristics of their work. The aim of the study is to evaluate the influence of professional factors on the functional state of the employees' body and the glutathione system as an objective indicator of stress based on the analysis of the subjective perception of the medical center employees of the specifics of working with personal computers and psychophysiological testing. Materials and methods. The study involved 109 specialists of medical centers (25 ophthalmologists, 31 representatives of the secondary medical staff - nurses and paramedics, 53 office employees). The anonymous survey concerned the assessment of working conditions and their impact on the functional state of the body of the respondents. Performance and stress tolerance indicators were evaluated using three standard questionnaires. The study of 66 subjects' levels of glutathione in the blood: total, reduced, oxidized and the ratio of reduced and oxidized - was used to analyze the relationship of the neuro-emotional nature of labor with the reaction of oxidative stress. Statistical processing of the obtained data was carried out using traditional methods of variation statistics and calculating the value of the odds ratio (OR) with a 95% confidence interval (CI). Results. The survey revealed a significant proportion of people in all groups of respondents who constantly use computer technology in their work. Describing the quality of the processed information, doctors more than representatives of other groups note its complexity, importance, negative emotional color, a high degree of responsibility and tension. Doctors more often than average medical staff and office workers associate the manifestation of fatigue with an uncomfortable state of the visual organ, nervous system, and musculoskeletal system. The subjects showed reduced performance and stress tolerance with the most pronounced negative trends in the group of doctors. Changes in the glutathione system were detected, indicating the presence of oxidative stress in 40% of ophthalmologists and office workers, and in half of nurses. Conclusions. The work of specialists of medical centers of various profiles in accordance with their assessment is characterized by high nervous and emotional stress, due to the need to process a significant amount of complex and important professionally significant information. Subjectively noted by respondents the influence of working conditions on the functional state of the body is confirmed by indicators of the glutathione system, which can be used as indicators of nervous and emotional stress.

THE ROLE OF THE GLUTATHIONE SYSTEM IN MAINTAINING REDOX-HOMEOSTASIS AND ANTIOXIDANT PROTECTION IN INFLAMMATORY AND DEGENERATIVE DISEASES OF THE ORGAN OF VISION

2021 ◽  
Vol 19 (4) ◽  
pp. 382-391
Author(s):  
V. G. Marmysh ◽  
Keyword(s):  
Oxidative Stress ◽  
Redox Homeostasis ◽  
The Body ◽  
Protection System ◽  
Antioxidant Protection ◽  
Degenerative Diseases ◽  
Glutathione System ◽  
Intracellular Glutathione ◽  
Antioxidant Protection System

Objective. To review and analyze literature data as well as evaluate the role of the glutathione antioxidant system in inflammatory and degenerative diseases of the organ of vision. Material and Methods. Multiple sources of foreign and domestic literature concerning the problem of oxidative stress, antioxidant protection system, glutathione and their role in inflammatory and degenerative diseases of the organ of vision were analyzed using main scientific and medical databases. More than 120 sources in the medical literature over the past 15 years were evaluated, 50 of them have been selected for final summary. Results. It was found that oxidative stress, based on free radical oxidation reactions, including LPO processes, plays a leading role in the development of inflammatory and degenerative diseases of the organ of vision. The key link in the eye’s antioxidant protection system is the glutathione system, which includes glutathione itself (GSH) and glutathionedependent enzymes: glutathione peroxidase (GPO), glutathione reductase (GR), glutathione-S-transferase (GST). Inflammatory and degenerative diseases of the eye are accompanied by reduction of the intracellular glutathione pool and imbalance between its reduced and oxidized forms (GSH / GSSG). Conclusions. Oxidative stress has a high correlation with inflammation and is the most important pathogenetic mechanism in inflammatory and degenerative diseases of the eye. The key role in antioxidant protection and maintenance of redox homeostasis of eye tissues belongs to the glutathione system, which includes GSH itself and glutathione-dependent enzymes (GPO, GR, GST). Inflammatory and degenerative processes in the eye are accompanied by decrease of the intracellular glutathione pool (GSH) and imbalance between its reduced and oxidized forms (GSH / GSSG). A shift in this balance significantly affects normal cell functioning, up to its apoptosis, and triggers multiple pathological conditions within the body, including diseases of the organ of vision.

IMPROVING THE CRITERIA AND METHODS FOR ASSESSING THE STRAIN ON WORKERS IN MODERN TYPES OF WORK

2021 ◽  
Author(s):  
V.V. Serikov ◽  
◽  
O.I. Yushkova ◽  
A.V. Kapustina
Keyword(s):  
Functional State ◽  
Working Conditions ◽  
Statistical Processing ◽  
The Body ◽  
Labor Process ◽  
Labor Intensity ◽  
Mental Work ◽  
Neuromuscular Apparatus ◽  
The Central Nervous System ◽  
And Control

Abstract. Introduction. The relevance of the research topic is due to the need to develop and scientifically substantiate physiological criteria for assessing working conditions in difficult cases according to indicators of the functional state of the body (in accordance with the section "General hygienic assessment of working conditions" of Guideline R 2.2.2006-05). The aim of the work is to determine changes in the functional state of the body in workers of mental, visual-intense, physical activity on the basis of complex physiological and hygienic studies to substantiate quantitative physiological criteria for different classes of labor intensity. Materials and methods. Complex industrial physiological and hygienic studies included an assessment of the degree of labor intensity with the analysis of retrospective data, physiological studies of the central nervous system, visual analyzer, neuromuscular apparatus, cardiovascular system of mental workers (52 groups), visually stressful (32), physical labor ( 71 professional group). Statistical processing of the obtained data was carried out using the statistical software Statistika 10, Microsoft Excel 2010. Research results. It is shown that the depth and time of the onset of physiological changes depend on the degree of labor intensity, which makes it possible to calculate the percentage of decrease in functions, taking into account the intensity class of the labor process. The list of physiological criteria for confirming the class of working conditions is determined by the characteristics of labor activity, with mental work these are indicators of concentration of attention and the volume of working memory, with visually intense labor, the critical frequency of fusion of light flashes, with physical labor, muscle endurance and heart rate. Conclusions. Quantitative physiological criteria have been established for various types of labor activity, which provide a valid evidence-based assessment of the class of working conditions according to the characteristics of the intensity of the labor process and control of the levels of the functional state.

scholarly journals Emotional burnout in medical workers during the work in extreme conditions

2020 ◽  
Vol 99 (10) ◽  
pp. 1034-1041
Author(s):  
Vladimir A. Pankov ◽  
Oleg A. Lakhman ◽  
Marina V. Kuleshova ◽  
Viktor S. Rukavishnikov
Keyword(s):  
Emotional Stress ◽  
Working Conditions ◽  
Medical Staff ◽  
Occupational Diseases ◽  
Scientific Evidence ◽  
Clinical Manifestations ◽  
Medical Personnel ◽  
Burnout Syndrome ◽  
Extreme Conditions ◽  
Emotional Burnout

Medical staff is exposed to a complex of adverse occupational factors of physical, chemical, and biological nature, high severity and intensity of the labor process. Unsatisfactory working conditions are associated with health risks for medical personnel and can lead to occupational and work-related diseases. The most often occupational diseases detected in medical staff are infectious ones. In the context of the spread of the new coronavirus infection (COVID-19), the probability of infection of the medical personnel themselves with possible damage to organs and body systems with a subsequent disability is high. The article pays considerable attention to the high level of neuro-emotional stress, the problem of burnout, accompanying the work of medical personnel, especially in extreme conditions, which include epidemics and pandemics, in particular the COVID-19 pandemic. The prevalence of burnout syndrome (BS) among medical personnel in many countries has reached crisis proportions, exceeding the level of any other occupational group. Despite a significant number of studies related to the study of BS in medical personnel, there are still difficulties with its diagnosis, primarily associated with the subjectivity of the methods used; there is little scientific evidence about the clinical manifestations of BS, its symptoms. The study of the phenomenon of emotional burnout, its prevention, treatment, and rehabilitation is relevant in connection with the direct relationship of BS not only to maintaining the health, mental stability, and professional longevity of specialists involved in long-term interpersonal communication but also to the preservation of the patients’ health. It is necessary to discuss making additions to the list of occupational diseases and to the list of harmful and dangerous industrial factors and works in which preliminary and periodic medical examinations are carried out, concerning medical staff whose working conditions are associated with the high nervous and emotional stress, in particular during work in extreme conditions.

Iron Metabolism in the Human Body and Setting its Hygienic Limits for Drinking Water. Review. Part 2

2020 ◽  
Vol 99 (5) ◽  
pp. 504-508
Author(s):  
Natalija A. Egorova ◽  
N. V. Kanatnikova
Keyword(s):  
Oxidative Stress ◽  
Drinking Water ◽  
Iron Overload ◽  
Iron Metabolism ◽  
Subcutaneous Tissue ◽  
Allergic Diseases ◽  
The Body ◽  
Urogenital System ◽  
High Iron Content ◽  
Labile Iron Pool

Iron is an assential element for the growth, division, differentiation and functioning of any cell in the body. Iron is virtually important for human and danger at the same time, because with excessive accumulation it causes oxidative stress with formation of highly active oxygen radicals and reactive form of nitrogen that can destroy cell membranes, proteins, nucleic acids, reduce cell viability, with, according to modern concepts, can contribute to the development of many diseases (cardiovascular, rheumatic, gastrointestinal, neurodegenerative, oncological, metabolic and others), and also accelerate the aging process. Part 1 of this review discussed the issues of iron metabolism in human, including its regulation at the cellular and systemic levels, the intake, transport, use, accumulation and export of iron in cells, the role of the labile iron pool in the cytoplasm of cells and plasma non-transferrin bound iron. Data are provided on the causes, frequency and significance of iron overload in the formation of free radicals and the development of oxidative stress. Part 2 of the review provides information on diseases associated with iron overload as well as information on ferroptosis - a new type of iron-dependent regulated cell death. Attention is paid to the works of domestic authors, where it was found that prolonged use of drinking water with a high iron content is unfavorable for the population and leads to an increase in the overall incidence, the development of the diseases of the blood, skin and subcutaneous tissue, musculoskeletal system, digestive system, urogenital system, and allergic diseases. Separate publications are cited on the possibility of a negative effect of iron at concentrations in water of 0.3 mg/l and lower. The material of the review emphasizes the preventive significance of caution attitude to regulating iron in the water in the Russian Federation, where 1/3 of the population uses iron-containing water for drinking, and substantiate the feasibility of establishing a hygienic limit for iron in water not higher than 0.3 mg/l.

Dynamical Peculiarities of Concatenational Changes in Functional Cardiovascular Parameters

2018 ◽  
Vol 3 (82) ◽  
Author(s):  
Eurelija Venskaitytė ◽  
Jonas Poderys ◽  
Tadas Česnaitis
Keyword(s):  
Time Series ◽  
Time Series Analysis ◽  
Functional State ◽  
The Body ◽  
Functional Changes ◽  
High Intensity Training ◽  
Series Analysis ◽  
Greco Roman ◽  
St Segment ◽  
Standard Lead

Research  background  and  hypothesis.  Traditional  time  series  analysis  techniques,  which  are  also  used  for the analysis of cardiovascular signals, do not reveal the relationship between the  changes in the indices recorded associated with the multiscale and chaotic structure of the tested object, which allows establishing short-and long-term structural and functional changes.Research aim was to reveal the dynamical peculiarities of interactions of cardiovascular system indices while evaluating the functional state of track-and-field athletes and Greco-Roman wrestlers.Research methods. Twenty two subjects participated in the study, their average age of 23.5 ± 1.7 years. During the study standard 12 lead electrocardiograms (ECG) were recorded. The following ECG parameters were used in the study: duration of RR interval taken from the II standard lead, duration of QRS complex, duration of JT interval and amplitude of ST segment taken from the V standard lead.Research  results.  Significant  differences  were  found  between  inter-parametric  connections  of  ST  segment amplitude and JT interval duration at the pre and post-training testing. Observed changes at different hierarchical levels of the body systems revealed inadequate cardiac metabolic processes, leading to changes in the metabolic rate of the myocardium and reflected in the dynamics of all investigated interactions.Discussion and conclusions. It has been found that peculiarities of the interactions of ECG indices interactions show the exposure of the  functional changes in the body at the onset of the workload. The alterations of the functional state of the body and the signs of fatigue, after athletes performed two high intensity training sessions per day, can be assessed using the approach of the evaluation of interactions between functional variables. Therefore the evaluation of the interactions of physiological signals by using time series analysis methods is suitable for the observation of these processes and the functional state of the body.Keywords: electrocardiogram, time series, functional state.

Influence of DAFS-25+polizon composition on blood and functional state of liver of steers at fattening

2020 ◽  
pp. 15-18
Author(s):  
Inna R. Kilmetova ◽  
◽  
Igor A. Rodin ◽  
Nazira I. Khayrullina ◽  
Nikolay G. Fenchenko ◽  
...  
Keyword(s):  
Functional State ◽  
White Blood Cells ◽  
Live Weight ◽  
The Body ◽  
Farm Animals ◽  
Control Group ◽  
Standard Diet ◽  
The Impact ◽  
Experimental Group ◽  
Stimulation Of

Summary. The disbalanced feeding and the uneven distribution of micro- and macroelements in the environment leads to a trace element, in particular hypomelanosis. To accelerate the growth and preservation of young farm animals include in the diet of various biological additives and drugs, which include selenium. For stimulation of weight gain in the livestock industry, as well as for the prevention and treatment of pathological processes in addition to micro - and macrouse amino acids, primarily methionine. The aim of this work was to study the influence of composition of DAFS-25+Polizon on morpho-biochemical parameters of blood and functional state of the liver in fattening bulls of black-motley breed in the conditions of the Republic of Bashkortostan. Experiments using were conducted on bull-calves of black-motley breed of the properties in the properties age from 6 to 15 months. The first experimental group during the experiment was additionally given the composition of DAFS-25+Polizon at a dose of 2 mg/kg, the animals of the control group received a standard diet. To assess the impact of the composition DAFS-25+Polizon on metabolism cattle studied morphological and biochemical indicators of blood and conducted histological examination of the liver. It is established that the use of the composition of DAFS-25+Polizon at a dose of 2 mg/kg increases the number of erythrocytes and hemoglobin in the experimental group and reduces the amount of white blood cells. The serum content of total protein, phosphorus and calcium increases in the group of experimental animals. Microscopic examination of the liver revealed no changes in the structure of the organ and hepatocytes in the experimental group, whereas in the control group hemodynamic disorders and dystrophic changes in liver cells were observed. Thus, the use of the composition DAFS-25+Polizon at a dose of 2 mg/kg of live weight in fattening bulls black-and-white breed contributes to the increase of redox processes in the body, stimulation of metabolism, prevent the development of liver disorders of cellular mechanisms of metabolism, optimizes the structure of the liver, which generally provides higher productivity.

Physiological and Hereditary Hyperbilirubinemia in Athletes: Role in Reducing Efficiency and Correction Methodology

2020 ◽  
Vol 5 (5) ◽  
pp. 386-393
Author(s):  
L. M. Gunina ◽  
◽  
Kazys Mylashyus ◽  
Voitenko V. L. ◽  
◽  
...  
Keyword(s):  
Physical Activity ◽  
Functional State ◽  
Oxygen Demand ◽  
Diagnostic Algorithm ◽  
Drug Prevention ◽  
The Body ◽  
Erythrocyte Membranes ◽  
Pharmacological Agents ◽  
Bilirubin Metabolism ◽  
The Individual

Under high-intensity loads, the athlete's bodies take place a number of biochemical reactions and physiological processes that can lead to hyperbilirubinemia. The factors that can initiate the onset of this phenomenon include the syndrome of micro-damage muscle, violation of the integrity of erythrocyte membranes, decreased blood pH, malnutrition and increase oxygen demand of the body. Degree of expression of manifestations of physiological bilirubinemia depends on the level of adaptation of the athlete to the physical activities offered. Hyperbilirubinemia in athletes can be one of the components of the deterioration of the functional state, forming the symptoms of endogenous intoxication. The relevance of this problem in sport lies in the relatively low detection rate of hyperbilirubinemia due to the lack of regular screening studies. However, in drawing up a plan of nutritional- metabolic support for training and competitive activity and recovery measures, must not only the individual reaction of the athlete body to physical activity, but also the severity of shifts in the indicators of bilirubin metabolism and their ratio. The article describes the reasons for the increase in bilirubin levels, which can be caused by both the effect of physical activity and by the presence of pathological processes in athletes. The factors influencing the blood serum’s bilirubin content are also highlighted, which include the state of erythrocyte cell membranes and the rate of hemoglobin destruction, the functional state of the liver, the specifics of physical loads and the use of ergogenic pharmacological agents by athletes. Particular accent has been placed on the illumination of hereditary hyperbilirubinemias, which may have been detected at the stage of selection of athletes. The most common phenomenon is Gilbert's syndrome, which occurs in 2-5% of cases in the general population, is characterized in the clinic by a benign flow and is manifested by episodes of jaundice and an increase in total bilirubin content to moderate values due to indirect. The frequency of detection of hyperbilirubinemias in the population of athletes is 4.68%, among which Gilbert's disease accounts for almost half (48.7%). Conclusion. The work highlighted the pathogenesis and diagnostic algorithm of Gilbert's disease, and also emphasized that its drug prevention and correction in athletes to maintain functional and physical fitness should be carried out taking into account anti-doping rules, which requires upon diagnosis timely receipt of a therapeutic exclusion

Criteria for estimation of labor by degree

2020 ◽  
pp. 826-826
Author(s):  
O. I. Yushkova ◽  
I. V. Bukhtiyarov
Keyword(s):  
Functional State ◽  
Working Conditions ◽  
Retrospective Data ◽  
Physiological Indicators ◽  
Scientific Substantiation

The article discusses the results of the production of physiological and hygienic studies and analysis of retrospective data for the scientific substantiation of individual physiological indicators in assessing and controlling the level of the functional state and class of working conditions

Features of development of functional overstrain at workers of physical work

2020 ◽  
pp. 643-643
Author(s):  
A. V. Kapustina ◽  
V. V. Elizarova ◽  
O. V. Bykova
Keyword(s):  
Functional State ◽  
The Body ◽  
Physical Work ◽  
Manual Labor ◽  
Production Studies ◽  
Professional Groups

The results of the production studies of professional groups of manual labor (stone saws, packers, slingers) are presented. It is shown that a change in the functional state of the body of workers leads to the development of fatigue and overstrain of the body systems of workers.

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