[On industrial conditionality of diseases among copper melting enterprise workers].

Health state of workers in hazardous conditions of copper melting enterprise depends on wide spectrum of somatic occupationally conditioned diseases. Economic damage from workers' health disorders due only to cardiovascular diseases can be considerable. To reduce this damage, hygienic measures are necessary to improve work conditions, to preserve occupational fitness of the workers, other measures to diminish controllable factors of vascular risk and to prevent occupationally conditioned cardiovascular diseases.

[DISSOCIATION OF DISORDERS OF CARBOHYDRATE AND LIPID METABOLISM IN ALUMINUM INDUSTRY WORKERS ACCORDING TO MEDICAL EXAMINATION DATA].

There were analyzed results of a periodical medical examination of 396 aluminum plant workers. There was established the significant dissociation of carbohydrate and lipid metabolism indices in people contacting with elevated concentrations qf inorganic fluorine compounds as compared to control group of patients which were not exposed to the toxic chemicals. This can testify to the risk of early onset of diabetes mellitus type 2 for aluminum industry workers and to the necessity of the implementation of timely measures for this worker category.

[Features of fluor intoxication development in patients with nondifferentiated connective tissue dysplasia and physical therapy methods for these patients].

The article covers results of studies concerning time of fluorosis development in patients with signs of connective tissue dysplasia syndrome (CTDS). if compared with patients without CTDS, and of studies concerning hyperostosis coefficient in accordance with presence or absence of CTDS. Efficiency of physical therapy and balneotherapy for these patients are also reported by the authors.

[Mathematic analysis of risk factors influence on occupational respiratory diseases development].

Analysis covered 1348 case histories of workers exposed to industrial dust in Urals region. The analysis applied mathematical processing of survival theory and correlation analysis. The authors studied influence of various factors: dust concentration, connective tissue dysplasia, smoking habits--on duration for diseases caused by dust to appear. Findings are that occupational diseases develop reliably faster with higher ambient dust concentrations and with connective tissue dysplasia syndrome. Smoking habits do not alter duration of pneumoconiosis development, but reliably increases development of occupational dust bronchitis.

[Non-medicamentous correction of changes in the cardiovascular and respiratory systems in subjects exposed to chrysolite asbestos dust].

Two physiotherapeutic complexes are proposed for the improvement of functional characteristics of the respiratory and cardiovascular systems that can be used for the non-medicamentous treatment of patients with cardiovascular diseases or concurrent broncho-pulmonary and cardiovascular pathologies. One complex is designed for the treatment of patients with asbestosis including that complicated by chronic obstructive bronchitis in the phase of remission with the well-apparent signs of myocardial electric instability. The use of the other complex is indicated to patients with chronic obstructive bronchitis in the phase of exacerbation and the signs of chronic pulmonary heart associated with cardiac dysrhythmia.

[Significance of combined cardiovascular pathology in prediction of long-term results of renal transplantation].

Cardiovascular pathology (CVP) is the main cause of death in patients with end-stage chronic renal failure (ESCRF) and recipients of renal allotransplants (RAT). Combined CVP is found in many patients with ESCRF. The aim of the study was to evaluate the influence of pre-existing combined CVP on the length of life of recipients during the functioning of RAT. The results of renal allotransplantation were analyzed in 142 RAT recipients. Statistic processing was performed using tabulation, construction of survival curves, and Kaplan-Meier estimates. The study established the prognostic value of a combination of several CVP in one patient. The total severity of the prognosis for patients and RATs differs depending on the number of concomitant cardiovascular diseases. The presence of three or more CVPs before performing renal allotransplantation is a predictor of lower survivability. The length of RAT functioning is significantly shorter in patients with two or more CVPs before renal allotransplantation. The presence of combined CVP should be taken into account when selecting and preparing patients with ESCRF for renal allotransplantation.

[Ultrasound in treating cardiac dysrhythmia]. / Ul'trazvuk v lechenii serdechnykh disritmii.

Ultrasound was used in the treatment of cardiac arrhythmia. Suppression of automatic activity of pacemaker cells, a trend to reduction of AV junction transmittancy and prolongation of its refractory period in response to specially programmed ultrasound may contribute to elimination of tachyarrhythmia paroxysms in some patients. Ultrasound therapy should be used with caution in suspicion of sinus insufficiency and AV junction failure. Ultrasound in the treatment of cardiac arrhythmia seems perspective and requires further studies.

[Clinical functional aspects of cardiac activity and vegetative imbalance in dumping syndrome]. / Kliniko-funktsional'nye osobennosti deiatel'nosti i vegetativnyi disbalans pri demping-sindrome.

Programmed computer transesophageal pacing with pharmacological heart denervation by A. Jose and D. Collinson, mathematical analysis of cardiac rhythm according to spectral and statistical methods were used in the study of extra-abdominal (cardial and vegetative) manifestations of dumping syndrome (DS)--one of severe complications of ulcer surgery. Serotoninemia was assessed by enzyme immunoassay (DRG kit). It was established that cardial and vegetative disorders are typical for DS patients and correlate with severity of motor defects of the gastrointestinal zone as well as fasting serotonin levels. Cardiac arrhythmias in DS in most cases are associated with functional insufficiency of pacemakers. This requires caution in administration of antiarrhythmic drugs in DS patients.

[The role of physical balneological factors in the treatment of occupational diseases]. / Rol' fiziobal'neofaktorov v lechenii nekotorykh professional'nykh zabolevanii.

The authors review the results obtained in the treatment of some occupational diseases using physical factors. In osteoarthritis patients exposed to fluorine compounds good results were achieved at employment of decimeter-wave therapy combined with mud applications or sulfurated hydrogen baths. Patients with scapulohumeral periarthritis benefited from combination of EHF therapy with alternating magnetic field. Initial lead intoxication was effectively treated with magnetotherapy. Subjects with vascular pathology occupationally exposed to high temperature responded to magnetolaser impact on reflexogenic regions of the heart.

[The role of chronotherapy in optimizing the treatment of patients living under ecologically adverse conditions]. / Rol' khronoterapii v optimizatsii lecheniia bol'nykh, prozhivaiushchikh v ékologicheski neblagopriiatnykh usloviiakh.

The problem of chronobiological optimisation deserves special attention of medical specialists as promising in chronotherapy and chronopharmacology. Its solution requires much effort and adequate methodological approaches.

[A new method for treating rheumatoid arthritis patients by electrophoresis using mefenamic acid]. / Novyi metod lecheniia bol'nykh revmatoidnym artritom élektroforezom s primeneniem mefenamovoi kisloty.

The paper provides clinical and experimental reasoning for application of a new treatment for rheumatoid arthritis (RA) implying electrophoresis of an anti-inflammatory drug mefenamic acid from dimexide solution. Complete and partial responses registered in 125 patients, reached 75%. With the new method it is possible to relieve pain, correct immunity and stop inflammation. The best effect was shown in an inactive disease and in activity phases I and II in adjuvant use of the method.