Novorossiysk oncology clinic № 3
Author list of organization
List of articles written by the authors of the organization
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PATHOLOGY OF CARDIOVASCULAR SYSTEM AT PERSONNEL OF COMMERCIAL FLEET
DescriptionIt is known that there are most widespread the diseases of cardiovascular system among the examined seamen. We have carried out the analysis of distribution of concrete nosological forms of pathology of cardiovascular system and concomitant diseases (gastrointestinal tract, nervous system, ENT organs, the musculoskeletal apparatus and others). Results of preventive screening of the crew personnel performed in 2007–2010 by medical commission of Novorossiysk clinical center of Russia’s Federal Medico-Biological Agency were subject to scientific research. 3352 seamen aged from 18 to 60 years (middle age 27,2+1,3 years), among which 2627 surveyed – personnel of bluewater shipping, 725 surveyed – personnel of domestic shipping have been subjected to studying. The examined contingent is ranged taking into account professional groups. It is revealed that cardiovascular pathology is almost equally widespread in all professional groups of personnel of ships of domestic and blue-water shipping. This pathology occurs at 13,5–21% of the seamen corresponding who had medical examination. The main group of the examined seamen (79–96,7%) belongs to the category «almost healthy» and suitable for work in the sea. Among revealed pathology at seamen, the high specific weight (63– 70%) belongs to diseases of cardiovascular system. Probable intensive work and harmful factors of the ship environment in each of professional groups exert significant negative impact on psychic and somatic health of seamen. Neurocirculator dystonia (hypertensive and cardio types) dominates in structure of cardiovascular pathology registered at seamen of both professional groups. The associated diseases (71–82%) meet more often at persons with hypertension, manifesting forms of atherosclerosis and ischemic disease. In both groups, we have noted the high percent of violations of digestive tract, musculoskeletal apparatus, alimentary and constitutional obesity and eyesight. However, alimentary and constitutional obesity and diseases of musculoskeletal apparatus are most characteristic of the personnel of ships performing long maritime traffic. Obviously, this phenomenon is connected with hypodynamia
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PROBLEM OF RENDERING OF FIRST MEDICAL AID ON COMMERCIAL SHIPS UNDER RUSSIAN FLAG
DescriptionThe problem of rendering of first medical aid to personnel of commercial ships under the Russian flag is considered. It is shown that the decision of this problem in our country is impossible without juridical aspects of activity of sailors-paramedics, questions of their training in bases of rendering an emergency aid and due medical support of the Russian ships. The emergency elementary aid has to be an integral part of activity of personnel of ships. Some directions of the decision of a problem of efficiency of providing such help to personnel of ships are proposed. Development of the bill directed to introduction in Russia of requirements for assistance by paramedics on commercial ships is necessary
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MEDICAL ASPECTS OF TOXICAL DANGERS IN COMMERCIAL SHIPS (REVIEW)
DescriptionThe article presents an analysis of features of the organization of special medical and prophylactic support on commercial ships. First-aid treatment at poisoning of crews of the most widespread toxic matter (poisonous gases, oil products, methane, coolants, and fumigants) has been considered. It is noted that medical aspects of toxic dangers on the water transport have to include prevention of the pathological states of health of seamen, timely medical support of the ship, early diagnostics of pathological states, sorting of injured persons and the organization of first emergency medical aid