[Pulmonary involvement in patients with hypertensive disease].

METHODS: Parameters of spirometry, body plethysmography, and pulmonary diffusion capacity were measured in 46 patients (age 35-60 years, 40 men, 6 women) with stage I-II hypertensive disease (HD) without bronchial and pulmonary diseases, systolic dysfunction of left ventricular myocardium, obesity, current or past smoking. RESULTS: Increase of severity of HD and elevation of average values of arterial pressure (AP) was associated with mixed type worsening of parameters of pulmonary ventilation capacity. Negative correlations existed between parameters of 24 hour arterial pressure monitoring and spirometry. Progression of microalbuminuria and endothelial dysfunction was associated with lowering of pulmonary vital capacity, alveolar volume, and diffusion capacity. CONCLUSION: The data presented allow to suggest that lungs can stand as target organ in hypertensive disease.

[Work conditions and occupational morbidity in Komi Republic]. / Usloviia truda i professional'naia zabolevaemost' trudiashchikhsia v Respublike Komi.

The authors discuss some features of occupational morbidity among resident workers, deeply analyze state of occupational morbidity among coal mining workers. The article contains research results on premorbid conditions among miners of Transpolar regions, covers experience of complex influence on work conditions to better them.

[The structure of newly detected tuberculosis in persons confined to correctional work institutions]. / Struktura vpervye vyiavlennogo tuberkuleza u lits, nakhodiashchikhsia v ispravitel'no-trudovykh uchrezhdeniiakh.

Tuberculosis morbidity in penitentiary-labour establishments (PLE) is scores of times higher than that among the population on the formation of which it has an influence. Study of the epidemiologic process patterns in PLE and specific features of tuberculosis in convicts is a necessary condition for the development of effective antituberculous measures. Analysis of the structure of newly-diagnosed tuberculosis in convicts has demonstrated that tuberculosis prevailed among subjects aged 30 years (49.2%) and in those at the age of 30-39 years (38.4%). The clinical structure is predominated by infiltrative (57.4%) and focal (36.4%) forms, while fibrocavernous and cirrhotic forms are absent. The organization of measures aimed at the timely detection of tuberculosis in convicts was found to have a number of defects, which contribute to tuberculous infection spread among subjects staying in PLE.