Assessment of Morbidity of Contract Military Personnel in Dagestan

2021 ◽  
pp. 10-14
Author(s):  
RS Rakhmanov ◽  
ES Bogomolova ◽  
SA Razgulin ◽  
GG Bakhmudov ◽  
MKh Alikberov ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Incidence Rate ◽  
Respiratory System ◽  
Musculoskeletal System ◽  
Military Personnel ◽  
Digestive System ◽  
Circulatory System ◽  
Common Task ◽  
Icd 10 ◽  
Dental Diseases

Background: Dental diseases and their sequelae promote comorbidity and polymorbidity. The objective of the study was to analyze the overall incidence including diseases of the oral cavity among contract military personnel. Materials: We conducted a retrospective analysis of the overall 5-year morbidity by ICD-10 categories among contract soldiers serving in Dagestan for 2012–2016. We estimated the incidence rate per 1,000 people by disease categories and subcategories (C00–C14, K01–K04 and K05–K14), the structure of morbidity, worktime losses due to sickness absence, and rates of diseases of the digestive system by subcategories K01-K04 and K05-K14. Results: With account for the diseases of the oral cavity, the proportion of leading diseases (diseases of the digestive system, respiratory system, musculoskeletal system and connective tissue) among the contact soldiers was 41.1 % and differed from the morbidity structure in the general population. The incidence rate of diseases of the digestive system was 1.6 times higher than that of diseases of the respiratory system, which was equal to that in the K01–K04 subcategory. In the category of diseases of the digestive system, the proportion of caries, its complications and other diseases of hard tissues of teeth reached 62.8 % and that of other diseases of the oral cavity – 17.4 %. As for worktime losses, the share of this category reached 8.1 %, of subcategories K01–K04 and K05–K14 – 0.7 % and 2.5 %, respectively. Having excluded the latter subcategories from the analysis, we found that the proportion of diseases of the digestive system became 4.3 times lower and they dropped to the sixth place. Conclusion: The proportion of diseases of the digestive system, when including and excluding diseases of the oral cavity in the structure of general morbidity, was 18.7 % and 4.7 %, respectively, while diseases of the respiratory system, musculoskeletal system and circulatory system prevailed. It can be assumed that the problem of dental caries is interdisciplinary and its prevention is a common task of both dentists and hygienists.

scholarly journals Primary morbidity of female military personnel serving in enterprises for disposing chemical weapons with organophosphate toxic substances (2007—2016)

2020 ◽  
pp. 48-59
Author(s):  
S. G. Grigoriev ◽  
V. I. Evdokimov ◽  
V. A. Sanzharevsky ◽  
G. G. Zagorodnikov
Keyword(s):  
Connective Tissue ◽  
Musculoskeletal System ◽  
Military Personnel ◽  
Armed Forces ◽  
Military Women ◽  
Chemical Weapons ◽  
Toxic Substances ◽  
Icd 10 ◽  
Group 2 ◽  
Group 1

Relevance. On September 27, 2017, Russia announced the completion of disposal of chemical weapons with organophosphorus toxic substances. ahead of its international obligations. Besides men, military women also served in enterprises for disposal of these weapons.Intention. To assess the impact of occupational factors on the primary morbidity of female military personnel (n = 267) served in enterprises for disposal of chemical weapons with organophosphates in 2007-2016.Methodology. The object of the study was data on the primary morbidity of female military personnel employed in disposal of chemical weapons with organophosphates (group 1) and serving in support and service units (group 2). The results were compared with the indicators of primary morbidity of all female military personnel Armed Forces of Russia. Nosologies were correlated with the chapters of diseases by the International Statistical Classification of Diseases and Related Health Problems (ICD-10).Results and Discussion. In Group 1 of female military personnel, the primary morbidity for a number of disease categories was better than in Group 2 and all the female military personnel of the Russian Armed Forces, which can be explained by careful preliminary selection before recruting, good work organization, and timely prevention of initial health disorders and rehabilitation of the functional reserves of the body. In military women of Groups 1 and 2, compared to all the female military personnel of the Russian Armed Forces, a statistically significantly higher level of primary morbidity was revealed for mental disorders and behavioral disorders (Chapter V by ICD-10). This can be explained by the cumulative effect of mental tension during disposal of chemical weapons. Of note, the above disorders were not the leading category of primary morbidity in both female military personnel working in enterprises and in all the female military personnel of the Russian Armed Forces. In female women of Group 1 compared to all the female military personnel of the Russian Armed Forces, there was a statistically significantly higher level of diseases of the musculoskeletal system and connective tissue (Chapter XIII by ICD-10). It can be assumed that negative memories of the likelihood of emergencies when moving weapons that require disposal create additional physical efforts and overstrain of individual muscles. It is appropriate to point out that diseases of the musculoskeletal system and connective tissue increased in female military personnel in all groups and overall in 2007-2016. In Group 1 of female military personnel, there was an increase in proportion of diseases from Chapter XIII vs certain stability of their percentage in all the female military personnel f the Russian Armed Forces.Conclusion. The results obtained showed a sufficient effectiveness of preventive and protective measures during the disposal of organophosphate weapons by female military personnel.

scholarly journals The scRNA-seq Expression Profiling of the Receptor ACE2 and the Cellular Protease TMPRSS2 Reveals Human Organs Susceptible to SARS-CoV-2 Infection

2021 ◽  
Vol 18 (1) ◽  
pp. 284
Author(s):  
Jing Qi ◽  
Yang Zhou ◽  
Jiao Hua ◽  
Liying Zhang ◽  
Jialin Bian ◽  
...  
Keyword(s):  
Respiratory System ◽  
Digestive System ◽  
Circulatory System ◽  
Cell Types ◽  
Multiple Organ ◽  
Receptor Protein ◽  
Risk Level ◽  
Urinary System ◽  
Expression Levels ◽  
Viral Susceptibility

COVID-19 patients always develop multiple organ dysfunction syndromes other than lungs, suggesting the novel virus SARS-CoV-2 also invades other organs. Therefore, studying the viral susceptibility of other organs is important for a deeper understanding of viral pathogenesis. Angiotensin-converting enzyme II (ACE2) is the receptor protein of SARS-CoV-2, and TMPRSS2 promotes virus proliferation and transmission. We investigated the ACE2 and TMPRSS2 expression levels of cell types from 31 organs to evaluate the risk of viral infection using single-cell RNA sequencing (scRNA-seq) data. For the first time, we found that the gall bladder and fallopian tube are vulnerable to SARS-CoV-2 infection. Besides, the nose, heart, small intestine, large intestine, esophagus, brain, testis, and kidney are also identified to be high-risk organs with high expression levels of ACE2 and TMPRSS2. Moreover, the susceptible organs are grouped into three risk levels based on the ACE2 and TMPRSS2 expression. As a result, the respiratory system, digestive system, and urinary system are at the top-risk level for SARS-CoV-2 infection. This study provides evidence for SARS-CoV-2 infection in the human nervous system, digestive system, reproductive system, respiratory system, circulatory system, and urinary system using scRNA-seq data, which helps in the clinical diagnosis and treatment of patients.

ROLE OF VITAMINS AND MINERALS IN THE DEVELOPMENT OF DENTAL DISEASES IN MILITARY SERVICE

2020 ◽  
pp. 19-32
Author(s):  
Филипп Сергеевич Соколов ◽  
Константин Георгиевич Гуревич ◽  
Дмитрий Анатольевич Пустовалов ◽  
Олег Петрович Каражелясков ◽  
Нателла Ильинична Крихели
Keyword(s):  
Oral Cavity ◽  
Military Personnel ◽  
Military Service ◽  
Age Groups ◽  
The Body ◽  
International Studies ◽  
Microelement Composition ◽  
Dental Diseases ◽  
The Military

Заболевания полости рта являются одними из наиболее распространенных заболеваний, с которыми сталкивается здравоохранение во всем мире. Эта проблема затрагивает людей всех возрастных групп. Анализ литературных данных позволяет выделить множество факторов риска развития кариеса и его осложнений, которые могут касаться военнослужащих помимо несбалансированного питания, курения, неудовлетворительной гигиены полости рта и нерегулярного посещения стоматолога. Множество международных исследований демонстрируют актуальность проблемы стоматологических заболеваний среди военнослужащих, указывая на отсутствие своевременной диспансеризации, низкую мотивацию к регулярному посещению стоматолога и тщательному проведению самостоятельной гигиены полости рта. Кроме этого, стоит учитывать специфику выполняемых военными задач за весь период службы, во время которых они оказываются под воздействием множества неблагоприятных факторов, которые в свою очередь, влияют на микроэлементный состав организма, что непосредственно влияет на общее состояние здоровья. Необходимость применения в армии РФ более актуальных по своему составу витаминно-минеральных комплексов (ВМК) уже неоднократно описана в современных исследованиях. Но до настоящего времени не проводилось работ по изучению взаимосвязи между микроэлементным статусом организма и состоянием твердых тканей зубов и пародонта Diseases of the oral cavity are one of the most common diseases that public health has worldwide. This problem affects people of all age groups. An analysis of literature data allows us to identify many risk factors for the development of caries and its complications, which may concern military personnel in addition to unbalanced nutrition, smoking, poor oral hygiene and irregular visits to the dentist. Many international studies demonstrate the urgency of the problem of dental diseases among military personnel, indicating the lack of timely medical examination, low motivation for regular visits to the dentist and thorough self-hygiene of the oral cavity. In addition, it is worth considering the specifics of the military tasks performed for the entire period of service, during which they are influenced by many unfavorable factors, which in turn affect the microelement composition of the body, which directly affects the overall health. The need to use in the army of the Russian Federation more relevant in its composition vitamin-mineral complexes (VMC) has been repeatedly described in modern studies. But so far no work has been done to study the relationship between the microelement status of the body and the state of hard tissues of teeth and periodontium

The Health of Workers with the Intake of Radionuclides in Case of Skin Damage

2020 ◽  
Vol 65 (3) ◽  
pp. 40-44
Author(s):  
A. Gurev ◽  
A. Tukov ◽  
A. Bushmanov ◽  
M. Kalinina ◽  
A. Zubov
Keyword(s):  
Musculoskeletal System ◽  
Occupational Diseases ◽  
Circulatory System ◽  
Health Indicators ◽  
Skin Damage ◽  
Statistical Validity ◽  
Circulatory System Diseases ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification

Purpose: Analysis of the prevalence of diseases of non-professional genesis in individuals with intake of radionuclides through damaged skin and served by health care institutions of the Federal Medical and Biological Agency of Russia. Material and methods: The database of the “Industry register of persons with occupational diseases” includes the health indicators of individuals with intake of radionuclides through damaged skin and a population of 185 patients aged 68.9 ± 1.0 years for 2014 (166 men aged 68.3 ± 1.0 years and 19 women aged 74.0 ± 3.4 years). The coding of diseases of non-professional genesis was carried out according to the International Statistical Classification of Diseases and Problems Related to Health (ICD-10). Student’s criterion was used as a criterion of statistical validity (p < 0.05). To assess the health of persons counted in the register, the prevalence rate of diseases of non-professional genesis, calculated for 1000 patients with occupational diseases, was used. An intensive indicator error was calculated ( ± m 95 %). Results: The prevalence of non-occupational diseases is 1637.8 ± 94.1 (men 1614.5 ± 98.6, women 1842.1 ± 311.4; p > 0.05). Disorders of the musculoskeletal system occupy the first place – 340.5 ± 34.8; 20.8 % (men 313.3 ± 36.0; 19.4 %, women 578.9 ± 174.6; 31.4 %; p > 0.05). Of these, dorsopathies accounted for 286.5 ± 33.1; 84.1 % (men 265.1 ± 34.3; 84.6 %, women 473.7 ± 114.6; 81.8 %; p > 0.05). Diseases of the digestive organs are 270.3 ± 32.7; 16.5 %. The highest rates in persons with diseases of the esophagus, stomach and duodenum 205.4 ± 29.7; 76.0 % (men 210.8 ± 31.7; 76.1 %, women 157.9 ± 83.7; 75.0 %; p > 0.05). The third ranking place is divided by diseases of the eye and its adnexa 200.0 ± 29.4; 12.2 % (men 192.8 ± 30.6; 11.9 %, women, 263.2 ± 101.0; 14.3 %; p > 0.05) and circulatory system diseases 200.0 ± 29,4; 12.2 % (men 174.7 ± 29.5; 10.8 %, women 421.1 ± 113.3; 22.9 %; p > 0.05). In the structure of diseases of non-professional genesis, the diseases of the first four ranking places, including respiratory diseases, make up 73.6 % (men 72.4 %, women 82.9 %). Conclusion: Among the diseases in persons with the intake of radionuclides through damaged skin are the most common disorders of the musculoskeletal system, diseases of the digestive system, diseases of the eye and its appendage apparatus. In terms of frequency, they are inferior to diseases of the circulatory system and respiratory organs. As one of the solutions to the problem of registration in persons with signs of contamination of radionuclides of damaged skin in the framework of ICD-10, it is proposed to introduce code S61.2 as “Open wounds of wrist and hand with intake of radionuclides”.

scholarly journals Features of primary morbidity of military personnel who serve in conditions of occupational hazards

2018 ◽  
Vol 20 (1) ◽  
pp. 185-189
Author(s):  
S G Grigoryev ◽  
G G Zagorodnikov ◽  
V A Sanzharevsky ◽  
P P Sivashchenko
Keyword(s):  
Respiratory Tract ◽  
Respiratory System ◽  
Military Personnel ◽  
Organophosphorus Compounds ◽  
Circulatory System ◽  
Occupational Hazards ◽  
Upper Respiratory Tract ◽  
Acute Infections ◽  
Circulatory System Diseases ◽  
Upper Respiratory

The comparative analysis of primary morbidity of officers involved in work with occupational hazards of chemical or radiation nature in 2007-2014 has been performed. It was established that the group of officers involved in work with organophosphorus compounds has significantly higher rate of respiratory system diseases and lower rate of primary morbidity of the circulatory system diseases than the officers involved in work with ionized radiation sources. It was demonstrated that the main contribution to the primary morbidity was made by the following classes: diseases of respiratory system, diseases of musculoskeletal system and connective tissue, diseases of digestive system and diseases of circulatory system. The primary morbidity for leading categories of diseases among military personnel who worked with organophosphorus compounds in two regimes (immediate activities to destroy organophosphorus compounds and support for this process (guard, medical and fire services) did not depend on the nature of work. The rate of respiratory system diseases was relatively higher among all Russian Federation Armed forces servicemen and among those who worked with highly toxic substances (mainly due to acute infections of the upper respiratory tract). For the other classes considered the primary morbidity was higher in the risk groups. Evaluation of the role of specific nosological forms showed that in a group of servicemen working with organophosphorus compounds the rates of acute infections of the upper respiratory tract of multiple and unspecified localization, other nasal and nasal sinuses diseases, dorsalgia predominated but was inferior to the incidence of chronic ischemic heart disease. In this connection it is necessary to elaborate and conduct the preventive measures against above mentioned categories of diseases and main nosological forms of these categories.

Analysis of dental morbidity of persons of an organized team in unfavorable working conditions

2020 ◽  
pp. 49-56
Author(s):  
Rofail Rakhmanov ◽  
Elena Bogomolova ◽  
Sergey Razgulin ◽  
Gamzat Bakhmudov ◽  
Murat Alikberov ◽  
...  
Keyword(s):  
Working Conditions ◽  
Military Personnel ◽  
Digestive System ◽  
Winter Season ◽  
The Body ◽  
Professional Activity ◽  
Dental Diseases ◽  
Carious Process ◽  
Total Structure ◽  
The Impact

The prevalence of diseases of the oral cavity in military personnel serving under the contract at various altitudes above sea level in Dagestan was estimated. The working conditions and the influence of physical environmental factors at the effective temperature in the autumn-winter-spring periods of the year are estimated. Professional activity belonged to the category of works IIb. Labor was assessed as harmful 2 degrees (class 3.2). In the winter season, a critical risk of frostbite of the body at medium temperatures and maximum wind was found at heights of 4 m and 1661 m. In the spring and autumn, a moderate risk of frostbite was noted at all altitudes. Dental diseases were registered in the classes «Neoplasms», «Diseases of the digestive system» and «Injuries and poisoning»; their share in the total structure was 15.03%. In the class «Diseases of the digestive system,» the share of dental diseases reached 80.2%. The group «Caries, its complications and other diseases of hard tissues of teeth» occupied the 1st rank place in the structure of morbidity, which is equal to morbidity in the class «Respiratory diseases». The level of oral hygiene is 2.8 ± 0.2 (very low): the teeth are significantly covered with plaque, leading to the progression of pathological processes. Description of the dental status: KPU index (carious, filled, extracted tooth) is 8.5 ± 0.3. The prevailing indicator was «carious», indicating an active carious process in the tissues of the teeth and the «lag» of the treatment, leading to their removal. Military personnel approached a critical indicator of fitness for professional activity. The need for oral sanitation reached 65.5 ± 7.9%. The share of labor losses for dental diseases of the class «Digestive apparatus diseases» reached 3.2%, excluding separation from duty on the day of treatment, of which there are several. The study proves the impact of adverse working conditions on dental morbidity, the need for their assessment to identify risk factors and develop preventive measures.

scholarly journals Personality traits as predictors of stress-induced somatic diseases in military academy cadets

2020 ◽  
pp. 93-99
Author(s):  
N. V. Zelenina ◽  
I. V. Fedotkina ◽  
V. V. Yusupov
Keyword(s):  
Personality Traits ◽  
Digestive System ◽  
Skin Diseases ◽  
Subcutaneous Tissue ◽  
Disease Incidence ◽  
Circulatory System ◽  
International Classification Of Diseases ◽  
Personality Characteristics ◽  
Icd 10 ◽  
Somatic Diseases

Relevance. The need to improve medical and psychological support for cadets of higher military educational institutions in order to reduce disease incidence and subsequent dismissal of military professionals for health reasons. Intention. To identify personality-associated predictors of stress-induced somatic diseases in cadets.Methodology. 433 male cadets aged 21-24 years in their 5-6th year of training were examined. We used the D. Keirsey personality questionnaire and the Giessen personality inventory. Somatic morbidity was analyzed based on the results of annual medical examinations and correlated with the International classification of diseases, injuries and behavioral disorders, 10th revision (ICD-10).Results and Discussion. The growth of somatic morbidity of cadets in the course of training was established. Diseases of the digestive system (K00–K93 according to ICD-10) were most common, their percentage increased from 0 % in the first year to 7.3 % in the 5-6th years of training. Diseases of the circulatory system (I00–I99) and diseases of the skin and subcutaneous tissue (L00–L99) increased up to 2.7 %. Personality characteristics of cadets have been studied. Typological and psychosocial personality characteristics associated with the risk of health disorders in the learning process were identified.Conclusion. Typological and psychosocial personality traits can be predictors of stress-induced somatic diseases in cadets in the course of training. Vulnerability to cardiovascular diseases is closer associated with typological personality traits, to skin diseases – with psychosocial traits, and diseases of the digestive system correlated with both typological and psychosocial personality traits.

scholarly journals COMPARATIVE ANALYSIS OF DISMISSAL FOR HEALTH REASONS IN MILITARY PERSONNEL OF THE NAVY AND OTHER BRANCHES OF THE ARMED FORCES OF THE RUSSIAN FEDERATION (2003-2018)

2019 ◽  
Vol 5 (4) ◽  
pp. 44-65
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko
Keyword(s):  
Health Status ◽  
Military Personnel ◽  
Healthy Lifestyle ◽  
Circulatory System ◽  
Armed Forces ◽  
The Body ◽  
Functional Reserves ◽  
Service Activity ◽  
Icd 10 ◽  
The Military

Introduction. Excessive stress on the functional reserves of the body of military personnel can lead to persistent health disorders, disability and dismissal from the Armed Forces of Russia. Aim. Compare the dismissal for health reasons in the military personnel of the Navy of Russia and the Russian Armed Forces in 2003–2018. by categories of military personnel. Material and methods. We conducted a statistical analysis of medical reports on the health status of personnel and medical service activity according to Form 3/MED in military units with a sample comprising about 60% of the total number of military personnel of the Russian Armed Forces and the Navy served from 2003 to 2018. The results and their discussion. Dismissal for health reasons in officers of the Russian Navy over 2003 to 2018 was 15,90±1,36, officers of other branches of the Russian Armed Forces — 7,98±1,10‰ (p<0,001); contract servicemen — 6,82±0,57 and 3,92±0,32, respectively (p<0,001); conscripts — 33,38±1,79 and 17,57±1,19, respectively (p<0,001); women soldiers — 23,01±3,34 and 9,14±1,37‰ (p<0,01). There were no significant differences in the nomenclature of disease blocks that caused dismissals in the categories of military personnel of the Russian Navy and the Russian Armed Forces. Higher dismissal levels within disease blocks indicated higher intensity of professional work and increased demands to the health status of the Navy servicemen compared to those from other branches of the Armed Forces. As a rule, dismissals of military personnel of the Russian Navy and the Russian Armed Forces were due to diseases of the circulatory system (ICD-10 Chapter IX), diseases of the digestive system (Chapter XI) and neoplasms (Chapter II). At the same time, some features of the structure of dismissals for health reasons were identified in the military personnel by categories. Conclusion. Accounting for and prevention of leading diseases that caused dismissals due to health reasons will contribute to improving the health of military personnel. It is necessary to focus the attention of the Russian Navy on a healthy lifestyle and increased physical activity.

scholarly journals The scRNA-seq expression profiling of the receptor ACE2 and the cellular protease TMPRSS2 reveals human organs susceptible to COVID-19 infection

2020 ◽  
Author(s):  
Jing Qi ◽  
Yang Zhou ◽  
Jiao Hua ◽  
Liying Zhang ◽  
Jialin Bian ◽  
...  
Keyword(s):  
Respiratory System ◽  
Reproductive System ◽  
Digestive System ◽  
Circulatory System ◽  
Cell Types ◽  
Multiple Organ ◽  
Receptor Protein ◽  
Risk Level ◽  
Expression Levels ◽  
Viral Susceptibility

SummaryBackgroundCOVID-19 caused by SARA-CoV-2 is a disaster sweeping over 200 countries, and more than 2,150,000 people are suffering from the disease and 140,000 people died. ACE2 is a receptor protein of SARS- CoV-2, and TMPRSS2 promotes virus proliferation and transmission. Some patients developed multiple organ dysfunction syndromes other than lungs. Therefore, studying the viral susceptibility of other organs is important for a deeper understanding of viral pathogenesis.MethodsThe advantage of scRNA-seq data is the identification of cell types by clustering the gene expression of cells. ACE2 and TMPRSS2 are highly expressed in AT2 of lungs, we compared the ACE2 and TMPRSS2 expression levels of cell types from 31 organs, with AT2 of lungs to evaluate the risk of the viral infection using scRNA-seq data.FindingsFor the first time, we found the brain, gall bladder, and fallopian tube are vulnerable to COVID-19 infection. Besides, the nose, heart, small intestine, large intestine, esophagus, testis and kidney are also identified to be high-risk organs with high expression levels of ACE2 and TMPRSS2. Moreover, the susceptible organs are grouped into three risk levels based on the TMPRSS2 expression. As a result, the respiratory system, digestive system and reproductive system are at the top-risk level to COVID-19 infection.InterpretationThis study provides evidence for COVID-19 infection in the human nervous system, digestive system, reproductive system, respiratory system, circulatory system and urinary system using scRNA-seq data, which helps for the clinical diagnosis and treatment of patients.

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