The age and work experience dynamics of indices of health of employees as criteria for comparison of occupational and nonoccupational risks

There are reported data of the analysis ofparameters of the general morbidity (hypertension, chronic diseases, organs of respiratory and digestive system , adiposity, vertebral osteochondrosis) in dependence on age and work experience of dockers-mechanizators in seaport at various working conditions. Morbidity rate indices were calculated on results of the profound medical examination at annual periodic surveys of workers. There were analyzed ecological and ergonomic indices of working conditions, including an estimation of physiological intensity of the work. The general hygienic assessment of working conditions was executed on the basis of the measurement of rates of gains in the risk of diseases depending on age and the experience of work (an annual gain of risk). The divergence of these rates was used for the determination of occupational and nonoccupational fractions of the general morbidity in employees working in harmful conditions.

TRANSCUTANEOUS ENDOSCOPIC NUCLEOTOMY OF LOWER LUMBER DISCS: LITERATURE REVIEW

Literature review is dedicated to an important problem – treatment of neurological manifestation of vertebral osteochondrosis by minimal invasive method, i.e. endoscopic nucleotomy. Consistent stages of method transformation from intervertebral disc puncture to complete decompression under endoscopic control have been followed. Indications and contra-indications, complications and results of treatment are analyzed in detail. Potentialities inherent in various techniques of visual intraoperation control (CT, MRI, fluoroscopy) are discussed. The reported information convincingly proves great potential of endoscopic nucleotomy.

Remote results of puncture laser diskectomy in patients with lumbar osteochondrosis

The efficiency of remote results of puncture laser diskectomy in patients with vertebral osteochondrosis, with the determination of indications and contraindications to this method is studied. In discal hernia of less than six mm the positive results are obtained in 91,4% of the patients. The total regress of neurologic symptomatology is found in 84,1% of the patients.