Psychological defenses and problems of comorbidity in a vibration disease from the effects of local vibration

2020 ◽  
pp. 25-33
Author(s):  
S. Babanov ◽  
R. Baraeva
Keyword(s):  
Psychological Profile ◽  
Local Vibration ◽  
Vibration Disease ◽  
Situational Anxiety ◽  
Personal Anxiety ◽  
The Impact ◽  
Psychological Defenses

The article presents data on the impact of vibration disease from the impact of local vibration on the psychological profile, the formation of personal anxiety and situational anxiety, as well as the development of comorbid States in vibration disease from the impact of local vibration.

Vibration disease: erectile dysfunction as a comorbidity problem

2020 ◽  
pp. 36-43
Author(s):  
S. Babanov ◽  
N. Tatarovskay
Keyword(s):  
Erectile Dysfunction ◽  
Questionnaire Survey ◽  
Erectile Function ◽  
Control Group ◽  
Local Vibration ◽  
Vibration Disease ◽  
Male Patients ◽  
And Control ◽  
The Impact ◽  
Second Degree

The article presents data (based on a questionnaire survey) on the impact of vibration disease from the action of local and General vibration on the erectile function of men. The main changes in the parameters of erectile function (frequency, need, etc.) are described in the case of first and second-degree vibrational disease caused by local vibration, and in the case of first-and second-degree vibrational disease caused by General vibration based on data from a questionnaire survey of male patients and control group.

Vibration disease: quality of life

2020 ◽  
pp. 24-31
Author(s):  
Sergey Babanov ◽  
Nataliya Tatarovskaya
Keyword(s):  
Quality Of Life ◽  
Physical Functioning ◽  
The Body ◽  
Systemic Effects ◽  
Local Vibration ◽  
Vibration Disease ◽  
Sf 36 ◽  
The Impact

The article presents data on the impact of vibration disease on the quality of life of patients. The main changes in the quality of life parameters of patients based on the results of the study using the SF-36 questionnaire are described. The quality of life of patients with various types of vibration disease is compared. It is established that industrial vibration (both General and local) in addition to the classical changes characteristic of vibration disease from exposure to local vibration (WBL), vibration disease from exposure to vibration (VBOW) first and second degrees (vascular, neurological) substantially violates the quality of life of patients, with the most pronounced changes are characteristic for WBOW, which confirms the systemic effects of vibration and its effects on the body working. The quality of life of sick WIDOWS is significantly reduced, although significant differences are observed only on the scales of «physical functioning» and «physical component of health».

Preparation for the first childbirth: assessment of the impact on some characteristics of psychological status

2020 ◽  
Vol 21 (3) ◽  
pp. 17-20
Author(s):  
O. V. Prokhorova ◽  
Keyword(s):  
Pregnant Women ◽  
Psychological Status ◽  
Control Group ◽  
Cross Sectional ◽  
Psychological Component ◽  
Nulliparous Women ◽  
Situational Anxiety ◽  
Personal Anxiety ◽  
The Impact ◽  
Optimal Type

Aim. To study of the influence of complex psycho-preventive preparation for childbirth in primiparous patients on some features of their psycho-emotional status. Materials and methods. A cross-sectional prospective study of 286 nulliparous women in full-term pregnancy, aged 21 to 35 years, was carried out, among them 142 pregnant women (the main group) attended courses of complex psycho-preventive preparation for childbirth in the third trimester of pregnancy. The control group consisted of 144 primiparas who did not attend antenatal training courses. To assess the psychological status of pregnant women, the method for assessing the psychological component of the gestational dominant (PCGD) was used according to I. V. Dobryakov. Anxiety was assessed according to the scale of situational and personal anxiety Ch.D. Spielberger and Yu.L. Khanina. Results. It was revealed that attending birth-giving women 4.8 times more often leads to the formation of the optimal type of psychological component of the gestational dominant. The effects of attending antenatal training classes on the level of situational anxiety in pregnant women are manifested in the form of a significant decrease in its level – OR 0.28 (95% CI 0.15-0.54). Conclusion. Comprehensive antenatal preparation for childbirth in primiparous leads to an improvement in some emotional characteristics of pregnant women, including the formation of the optimal type of psychological component of the gestational dominant and a decrease in situational anxiety.

Psychological features of patients with vibration disease in the post-contact period

2019 ◽  
pp. 278-283 ◽  
Author(s):  
Marina V. Kuleshova ◽  
Vladimir A. Pankov
Keyword(s):  
Cognitive Strategies ◽  
Exposure Period ◽  
Psychological Status ◽  
Contact Period ◽  
Behavioral Strategies ◽  
Local Vibration ◽  
Post Exposure ◽  
Vibration Disease ◽  
Wide Range ◽  
Personal Anxiety

Introduction. Vibration disease (VD) occupies a leading place in the overall structure of chronic occupational pathology. High sensitivity to environmental influences, instability of emotional state, hypochondriac features, rigid stereotype of behavior, propensity to depressive states, dissatisfaction with the state which is often considered by patients as disability are revealed in patients with VD. However, there is almost no information about the psychoemotional state of patients in the post-exposure period.The aim of the study was to study the psychological status of patients with VD in the post-exposure period.Materials and methods. The studies were performed in patients with VD from exposure to local vibration in a connected sample (n=20), including the post-exposure period. For the evaluation of psychological status were used: «Scale of assessment of the level of reactive and personal anxiety», an adapted version of the Minnesota multi-factor personal questionnaire (MMPQ), «Lifestyle index «, the variants of coping behavior was investigated using the methodology of E. Heim.Results. Moderate level of reactive and high level of personal anxiety was revealed in patients with post-exposure period. The MMPQ profile throughout the study period is characterized by a neurotic slope. Patients with VD in the post-exposure period more often use relatively adaptive forms of cognitive strategies, the constructiveness of which depends on the significance and severity of the overcoming situation. Among the options for emotional coping is dominated by adaptive forms. A wide range of behavioral strategies, both constructive and non — constructive, was revealed in patients with post-exposure period; there is a relatively narrow range of intense mechanisms of psychological protection, which are represented by their protective forms — «denial», «displacement», «intellectualization» and «reactive formations».Conclusions: The studies show the persistence in the post-exposure period, previously identified in patients with VD of psychological problems that fi t into the framework developed the theory of sensory conflict of Siberian Institute of Medical and Ecological Research, when developing long-term adaptive and non-adaptive reaction is complete the formation of the maladaptive psychological states. In the system of prevention of occupational pathology from the effects of vibration, it is necessary to provide measures of psycho-hygienic and psycho- prevention orientation for psychological adaptation of patients.

scholarly journals Modern ultrasound methods for the diagnosing vibration disease

2021 ◽  
Vol 100 (8) ◽  
pp. 803-806
Author(s):  
Nadezhda I. Kuprina ◽  
Ekaterina V. Ulanovskaya ◽  
Viktor V. Shilov
Keyword(s):  
Vascular System ◽  
Peripheral Resistance ◽  
Pulse Velocity ◽  
Pathological Process ◽  
Upper Extremities ◽  
Local Vibration ◽  
Pronounced Increase ◽  
Vibration Disease ◽  
Critical Problems ◽  
The Impact

Introduction. According to the latest statistical data analysis, vibration disease (VD) remains the leading pathology in the structure of occupational morbidity in the Russian Federation. The main symptom of VD is peripheral angiodystonic syndrome, which develops as a result of peripheral vessels angiospasm of extremities, which is clinically manifested in the form of pain in hands, temperature decrease and pallor of the skin. Materials and methods. The article presents the results of an ultrasound assessment of the velocity and anatomical parameters of the main arteries of upper extremities in patients with stage 2 VD from exposure to general and local vibration. Results. According to the data of sanitary and hygienic characteristics, in all examined patients with stage 2 VD from exposure to general and local vibration, the class of working conditions was assessed as class 3 (harmful). In contrast, the excess in local vibration along the X, Y, Z axes ranged from 1 to 7 dBA. Ultrasound of the main arteries of upper extremities shows a decrease in the velocity parameters along the radial and ulnar arteries symmetrically, a significant increase in the tone of the wall of the forearm arteries. Discussion. One of the most critical problems in solving expert questions is assessing pathological process severity due to the lack of transparent and objective methods. Ultrasound research is the most affordable and safest method for evaluating the vascular system of upper extremities in stage 2 VD. It also significantly increases the objectification of expert decisions on the connection of this disease with occupation. Conclusion. VD II from the impact of general and local vibration is characterized by decreased pulse velocity on the ulnar and radial arteries symmetrically on both sides with a pronounced increase of peripheral resistance, indicating a severe angiospastic syndrome to generalized.

Influence of negative aff ectivity, social suppression and anxiety on motivation for health and a healthy lifestyle in coal industry workers

2020 ◽  
pp. 354-358
Author(s):  
I. P. Danilov ◽  
N. I. Vlakh ◽  
V. I. Gugushvili ◽  
N. Ya. Paneva ◽  
T. D. Logunova
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Healthy Lifestyle ◽  
Coal Industry ◽  
Type D ◽  
Situational Anxiety ◽  
Personal Anxiety ◽  
High Level ◽  
Level Of Motivation ◽  
Social Suppression

Introduction. A healthy lifestyle is one of the most eff ective methods of preserving health and preventing non-infectious diseases. The mechanisms and factors that infl uence the formation of motivation for health and a healthy lifestyle in employees engaged in harmful working conditions have not been suffi ciently studied. The study of these mechanisms will allow us to more eff ectively shape health-saving behavior.The aim of the study is to study negative aff ectivity, social suppression and anxiety in the formation of motivation to maintain health and a healthy lifestyle in coal industry workers.Materials and methods. A survey was conducted of 75 employees of mines and sections in the South of Kuzbass with an established diagnosis of occupational diseases, as well as 54 people who do not work in harmful working conditions (engineering and technical workers). Surveys were conducted using the method “Index of motivation to health and a healthy lifestyle”, the presence of personality type D was conducted using the DS14 questionnaire, the level of personal and situational anxiety was assessed using the Spielberger — Hanin questionnaire.Results. Th e level of motivation for health and a healthy lifestyle among patients with occupational diseases is signifi cantly lower than the level of motivation for the health of engineering and technical workers. Th e infl uence of negative reaction and social suppression on the level of motivation for health and a healthy lifestyle was not found. Th e level of situational anxiety also has no eff ect on health motivation. A higher level of personal anxiety among people with a high level of motivation for a healthy lifestyle was determined.Conclusions. Personal anxiety aff ects the level of motivation for health and a healthy lifestyle in people with occupational diseases. 

Psychovegetative status of underground miners

2020 ◽  
pp. 589-589
Author(s):  
N. K. Voznesensky ◽  
S. V. Paramonova ◽  
A. L. Sedinin
Keyword(s):  
Specific Structure ◽  
Average Level ◽  
Low Level ◽  
Situational Anxiety ◽  
Personal Anxiety

The structure of psychovegetative status of underground miners is studied. The low level of attention in 64% of employees was revealed. 44% of the subjects had an average level of neuropsychic tension. Average level of personal anxiety (69%) and low level of situational anxiety (87%). The specific structure of psychovegetative status of underground miners is revealed.

scholarly journals Selecting informative biomarkers for early diagnosis of occupational neurological diseases

2021 ◽  
Vol 100 (9) ◽  
pp. 953-958
Author(s):  
Inna V. Lapko
Keyword(s):  
Insulin Resistance ◽  
Carbohydrate Metabolism ◽  
The Body ◽  
Working Environment ◽  
Total Testosterone ◽  
Physical Factors ◽  
Lumbosacral Radiculopathy ◽  
Vibration Disease ◽  
Neurohumoral Regulation ◽  
The Impact

Introduction. At present, the patterns of changes in the levels of biomarkers and the relationship of changes in their values with the pathogenesis of diseases caused by the impact of adverse factors of labour activity are not sufficiently studied. The most unresolved issues are the choice of informative laboratory indicators and diagnostic test systems in investigating the impact of physical factors on the working environment (vibration and physical overload) neurohumoral regulation: pituitary-adrenal pituitary-thyroid, pituitary-gonadal system and hormonal indicators of carbohydrate metabolism. The aim of the study was to determine diagnostic hormonal markers and integral indices to identify early changes in the neurohumoral status in the body of workers under the influence of working environment factors. Materials and methods. 330 workers of mining and machine-building enterprises were examined. Of these, 128 people with vibration disease, 45 people - with lumbosacral radiculopathy, combined pathology (vibration disease and lumbosacral radiculopathy) was detected in 60 persons. The preclinical stage (initial signs of diseases) was noted in 97 workers. Laboratory studies included hormones and integral indices of the pituitary-adrenal, pituitary-thyroid, pituitary-gonadal system, carbohydrate metabolism. To select the diagnostic significance of laboratory biomarkers, diagnostic sensitivity, prenosological value, pathognomonicity, direction, severity, and selectivity of changes in biomarker levels were evaluated. Results. The combined effect of vibration and physical overload on the body of workers was found to have a unidirectional and systemic impact on the levels of hormones of the pituitary-adrenal, pituitary-thyroid and pituitary-gonadal systems, increases insulin resistance. The severity of changes in neurohumoral regulation indicators depends on the nature and severity of the occupational neurological disease. The highest diagnostic sensitivity (Df = 72-74%) in vibration disease and its combination with lumbosacral radiculopathy was obtained for pituitary-gonadal hormones and indicators of insulin resistance. The lowest values of Dh are typical for the hormones of the pituitary-thyroid system (no more than 14%). To identify early changes in neurohumoral regulation in the body under the influence of vibration and physical exertion, it is most informative to determine the concentration of total testosterone, luteinizing hormone and insulin, as well as the integral pituitary-adrenal index, insulin resistance indices. To identify hidden disorders of the pituitary-thyroid system, the definition of the essential thyroid index can be used. Discussion. The results obtained allowed us to assess the nature of changes in the levels of hormones of the pituitary-adrenal, pituitary-thyroid and pituitary-gonadal systems and carbohydrate metabolism and to propose informative laboratory biomarkers reflecting early changes in neurohumoral regulation under the influence of physical factors of the working environment. Conclusions. To identify early changes in neurohumoral regulation in the body of workers under the influence of vibration and physical exertion, the most informative is the determination of the concentration of total testosterone, luteinizing hormone and insulin, the integral pituitary-adrenal index, and insulin resistance indices. To identify hidden disorders of the pituitary-thyroid system, the definition of the integral thyroid index can be used.

scholarly journals DETERMINATION OF THE FUNCTIONAL STATE OF THE PERIPHERAL NERVOUS SYSTEM IN PATIENTS WITH VIBRATION DISEASE BY ELECTRONEUROMIOGRAPHY INDICES

2019 ◽  
Vol 98 (10) ◽  
pp. 1119-1123
Author(s):  
D. V. Rusanova ◽  
Larisa S. Vasileva ◽  
N. V. Slivnitsyna ◽  
O. L. Lakhman
Keyword(s):  
Functional State ◽  
Lower Extremities ◽  
The State ◽  
The Body ◽  
Local Vibration ◽  
Spinal Cord Neurons ◽  
Vibration Disease ◽  
Prolonged Contact ◽  
Upper And Lower Extremities ◽  
F Wave

Introduction. Vibration disease (VD) is a chronic occupational disease caused by the long-term influence of industrial vibration on the body, with prolonged contact with which a polyneuropathic syndrome is formed. Material and methods. 150 males were examined in the clinic. The first group consisted of 50 patients with VD associated with combined exposure to local and General vibration (48.7±3.1 years); the second - 50 patients with VB associated with exposure to local vibration (48.9±2.8 years); the third - 50 relatively healthy individuals without contact with vibration (49.1±2.5 years). Stimulation electroneuromyography (ENMG) was carried out according to the generally accepted method. The results of ENMG show demyelinating lesions of motor and sensory components to be registered in the examined VD patients, changes in the speed indices of axons of nerves of the upper and lower extremities are observed. Analysis of F-wave indices revealed the lesion of both the fastest and the slowest conductive fibers of the tibial and peroneal nerves in patients of both groups. There is an increase in the maximum amplitude of the F-wave and the F/M ratio, more pronounced in patients of the first examined group. In patients of the first and second examined groups, there is an increase in the blocks of the pulse, more pronounced with the combined effect of general and local vibration. Conclusion. Changes in the state of the peripheral nerves of the upper extremities are similar in patients of the first and second groups and consist in the presence of processes of demyelination of motor and sensory axons. In patients of the first group, there are more pronounced disorders in the state of the motor component of the nerves of the upper and lower extremities, while in persons of the second group there are sub-threshold changes in the lower extremities. Changes at the level of roots and in the functional state of the spinal cord neurons are more pronounced in patients of the second group.

scholarly journals Prevalence of comorbid pathology in patients with vibration disease caused by exposure to local vibration

2020 ◽  
Vol 99 (10) ◽  
pp. 1079-1085
Author(s):  
Marina V. Kuleshova ◽  
Vladimir A. Pankov ◽  
Natalya V. Slivnitsyna
Keyword(s):  
Mastoid Process ◽  
Local Vibration ◽  
Work Related ◽  
Vibration Disease ◽  
Clinical Syndromes ◽  
Number Of Patients ◽  
Health Disorders ◽  
Relationship Of ◽  
The Relationship ◽  
Sensory Polyneuropathy

Introduction. Vibration as a factor of production is one of the leading that influences negatively on workers in various sectors of the economy. In available literature there no adequate information on the comorbid pathology in hand-arm vibration disease (HAVD) patients. The purpose of the study is to analyze the prevalence of somatic pathology in HAVD patients. Material and methods. The analysis of comorbidity of HAVD patients according in-depth medical data is carried out. The degree of relationship between work-related health disorders is assessed. The results are presented by average values, intensive and extensive indices, the relationship of work-related health disorders is confirmed by the calculation of the relative risk. Results. The main syndrome in the clinical picture of HAVD is autonomous-sensory polyneuropathy of the upper extremities, which is recorded in all patients, while some patients have a combination of two or more clinical syndromes of HAVD. A significant prevalence of diseases of the musculoskeletal and circulatory systems, eyes and its adnexa, ear and mastoid process, digestive, genitourinary system, and respiratory systems was revealed. Number of patients who have diseases of endocrine (up to 25.0%, p <0.01), digestive (up to 43.8%, p <0.01), urogenital (up to 37.5%, p <0.01), respiratory (up to 37.5%, p <0.05) and the circulatory (up to 52.9%, p <0.05) systems grows up with an increase of the experience dose of local vibration. Conclusion. The results of the study can serve as the basis for the implementation of measures for primary and secondary prevention of occupational diseases caused by local vibration, aimed at preventing the development of health disorders.

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