[Radiation Medicine: Manual / Chief Editor--L.A. Ilyin].
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Biomedical subjects
Publications and source records attributed to L A Tarasova.
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One of the mechanisms underlying cardiac disease caused by stress is disorder of lipid metabolism, resulting from excessive increase of adaptive lipotropic effect of stress reaction.
Contemporary forms of occupational diseases are often characterized by many body systems involved, with response of specific and nonspecific effects. Due to observed transformation in character and course of the main occupational entities, specifying the new clinical classifications, new "List of Occupational Diseases" adapted to ICD-10, by specialists remains topical.
Human individual sensitivity to health-hazardous occupational factors and probability of developing chronic lung diseases depend on genetic variation of serum and erythrocytic proteins. The present work was aimed at studying the phenotypes of serum and erythrocytic proteins in patients with occupational respiratory diseases. We studied 7 highly polymorphic genetic systems the varieties of which may be connected with development of bronchopulmonary pathology (BPP) and the immune status of the body: proteinase inhibitor (Pi), third component of the complement (C3), transferrin (Tf), group-specific component of blood serum (Gc), haptoglobin (Hp), erythrocytic glyoxalase (Glo) and phosphoglucomutase (PGM) in patients with chronic bronchitis, silicosis, occupational bronchial asthma and in the control group consisting of Moscow population not exposed to occupational hazards and apparently healthy workers of an engineering plant. Considerable differences were revealed in genetic structure of the patients with bronchopulmonary pathology as compared with the apparently healthy people along a series of Integrated system: proteinase inhibitor (Pi), C3, Tf, Gc, PGM. Comparison of the study groups by significant differences in the aggregate of the genetic information obtained suggests that 5 (HP, C3, Tf, Pl, PGM1) of the 7 studied systems showed the hereditary features of silicosis. The gene carriers Hp*2, C3*F, PGM1*2-, TF*D, GC*R due to peculiar biochemical processes appear to have less adaptive potentialities and a greater likelihood of the disease on exposure to industrial factors. The examined patients with chronic bronchitis showed an increase in the variant of GC*2 and of a rare variants of proteins GC*R and Pi*S, the patients with occupational bronchial asthma showed an increase in the variant of Hp*2 and of a rare variant Pi*S. Such studies could be useful for assessment and forecast of individual risk of occupational diseases.
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Some features were revealed after study of 185 patients with various occupational diseases: chronic lead intoxication, bronchial asthma, and disorders caused by fluor. Considering polyetiology and nonspecificity of gastric diseases, the authors could not determine the changes revealed as caused only by occupational exposure.
Examination of 400 workers in Bratsk aluminium plant proved respiratory diseases formation to be influenced by both occupational factors and various toxic chemicals that are released into atmosphere by other industrial polluters. Structure of respiratory diseases is represented mainly by diffuse pneumoconiosis caused by toxic and dust factors. Prophylaxis of those diseases should be aimed not only to better work conditions, but also to specify measures improving regional ecologic situation.
Complex descriptive, physiologic and hygienic studies covered various occupational groups of physical and mental work and revealed that health disorders probability depends on intensity of occupational factors. Increase in the intensity results in higher physiologic expenditure and greater incidence of occupational diseases. Symptoms of disorders appeared to depend on specificity of occupational factors.
Biochemical reactions demonstrate not only common principles and characteristics, but also individual features that form "biochemical profile" providing both adaptive adjustability and unique responses in various individuals. Putting the advances of clinical biochemistry and molecular biology into practice expands approaches to study of occupational diseases.
The study covered influence of occupational factors on health state in 2 groups of workers engaged into facing (59 plasterers and 74 house painters) and matched in age, sex and length of service. Work of plasterers and house painters appeared to encounter risk of occupational sensomotor system disorders specified not only by type and hardness, but also prevalent direction of local muscular load.
Predominant orientation of local muscular load to proximal or distal portions of shoulders and upper limbs considerably influences features of changes in brain functions and blood supply. Characteristic for plasterers, localization of myogeloses in upper part of trapezium muscles causes not only impaired vertebrobasillar circulation, but also venous cerebral stasis and caudal medullar dysfunction. Clinical symptoms are vestibular disorders, depressed functions of hearing, chronic venous cerebral congestion, posture-tonic disorders. Local loads on distal portions of limbs have other mechanisms of cerebral and peripheral disorders.
The authors studied value of laboratory CNS tests in early diagnosis of chronic exposure to organic solvents. The tests include quantitative and qualitative evaluation of personal profile, higher psychic functions and bioelectric activity of brain. Findings are objective parameters of early CNS response to solvents--EEG signs characteristic for hypothalamic irritation, moderate diffuse increase in MMPI personal profile with secondary neurotic type and marked disorder of attention that is considerably influenced by nonspecific activating system of brain.
The article covers literary data and observations concerning influence of occupational factors and working environment on workers' reproductive health. The authors stress common ground of pathogenetic mechanisms underlying pathomorphosis of reproductive disorders and other symptoms caused by occupational exposure. The materials emphasize importance of reproductivity studies in workers exposed to occupational hazards, as reproductive disorders are early and gentle signs of inner imbalance.
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In organization-normative period of Russian occupational pathology service establishing expediently to foresee some different levels for territorial occupational pathology institutions with corresponding differentiation for three category. The appointing a category to the occupational pathology centre must be in competence of accreditive-licencive commission, which follows "On system of medical practice licencing in the part concerning occupational pathology".
Clinical and physiologic studies covered 26 occupational groups engaged into physical work and revealed that physiologic value of muscular work is a function of quantitative parameters, intensity and duration of work. Physiologic value of the work appeared to correlate with morbidity structure.
Human sensitivity to various factors of occupational environment (toxic chemicals, aerosols with mostly fibrogenic effects, etc.) depends on individual hereditary features determining adaptation or dysadaptation with subsequent disease. Studies of propensity and resistance in individuals exposed to occupational hazards should cover analysis of genetic basis for polymorphism in certain biochemical systems determining relationships between hazards detoxication and activation, DNA alteration and repair.
Electrophoresis and isoelectrofocusing were used to study polymorphism by 7 genetic loci: haptoglobin (Hp), proteinase inhibitor (PI), transferrin (TF), Vitamin D-transporting protein (GC), complement 3 (C3), phosphoglucomutase 1 (PGM1) and glyoxalase (GLO1) in 60 patients with silicosis and in 70 apparently healthy workers of the Dynamo plant. Comparison of the study groups by significant differences in the summary of the genetic information obtained suggests that 5 (Hp, C3, TF, PI, PGM1) of the 7 studied systems showed the hereditary features of silicosis. The gene carriers Hp*2, C3*F, PGM1*2-, PI*M1, TF*C1, TF*C16 TF*D, GC*R due to peculiar biochemical processes appear to have less adaptive potentialities and a greater likelihood of the disease on exposure to industrial factors.