V. Chorna, V. Makhniuk, S.M. Моhylnyi, S. Khliestova, V.M. Podolian, L. B. Furman, I. V. Larchenko, A. Chaika
{"title":"The state of occupational stress in medical workers, counteraction and overcoming it","authors":"V. Chorna, V. Makhniuk, S.M. Моhylnyi, S. Khliestova, V.M. Podolian, L. B. Furman, I. V. Larchenko, A. Chaika","doi":"10.32402/dovkil2022.02.053","DOIUrl":"https://doi.org/10.32402/dovkil2022.02.053","url":null,"abstract":"Objective. To determine the manifestations and the level of predictors of the development of emotional burnout (PREV) among medical workers in the Vinnytsia region and develop preventive measures to prevent it. Materials and methods. The study involved 324 respondents - healthcare workers in the Vinnytsia region. Among the respondents were women – 82,4%, men – 17,6%. The average age of respondents among doctors was 44,06+12,2 years, among nurses – 37,2+11,4 years. The length of service in professional activities was: among doctors – 19,7 + 12,3 years and SMPs – 15,5 + 11,1 years. The psychodiagnostic method of emotional burnout by V.V. Boyko was used in the study and the adapted technique of N.E. Vodopianova. Statistical processing of the study results was performed in the licensed standardized package Statistica 6.1 for Windows with the calculation of the arithmetic mean value, the standard mean arithmetic error. The significance of the difference was assessed using Student's t-test (t). The work used content analysis of domestic and foreign scientific sources, biblio-semantic, analytical and statistical research methods. Research Results. The article analyzes the state of professional and emotional burnout/stress among medical workers in the healthcare sector in Ukraine and abroad. The chief causes of professional burnout/stress, their factors, and their consequences are highlighted. Conclusions. These research results indicate inappropriate working conditions and the presence of harmful professional factors leading to a high level of emotional exhaustion, depersonalization, and a reduction in professional achievements, which negatively affects the performance of their professional duties by every second health worker and requires them to be provided with outpatient treatment to prevent the transition of PREV syndromes and professional burnout into illness. The prospect of further research is to study the problem of professional burnout/stress, counteraction, and an effective system of mental health prevention both for medical personnel and the population of Ukraine.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127429343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Serheta, N. V. Stoian, O. Serebrennikova, I. Drezhenkova, O. Makarova
{"title":"Psychogygenic principles of using health-preserving technologies in modern institutions of higher education","authors":"I. Serheta, N. V. Stoian, O. Serebrennikova, I. Drezhenkova, O. Makarova","doi":"10.32402/dovkil2022.02.032","DOIUrl":"https://doi.org/10.32402/dovkil2022.02.032","url":null,"abstract":"Objective: We established and scientifically substantiated the psychohygienic principles of using health-preserving technologies in modern institutions of higher education. Materials and methods. The research was conducted on the basis of National Pyrohov Memorial Medical University. A well-structured set of highly informative modern hygienic, medical-sociological, psychophysiological and psychodiagnostic methods and methods of statistical analysis were used to adequately achieve this goal. Results. The data obtained in the course of research indicate that as conceptual psychohygienic principles of effective use of health-preserving technologies in modern institutions of higher education should be noted: (1) regime-adaptive principle of application of psychohygienic components in the structure of modern health-preserving technologies, which determines the need to take into account the main regime elements of educational and extracurricular activities of students in specific conditions of the educational process, determining and constantly monitoring the level of educational adaptation and academic performance of students, especially in professionally oriented disciplines; (2) psychophysiological principle of application of psychohygienic components in the structure of modern health technologies, which is determined by the level of development of leading socially and professionally significant psychophysiological functions of the body of girls and boys; (3) personal principle of application of psychohygienic components in the structure of modern health technologies, which is related to the peculiarities of assessing the processes of formation of leading personality traits of student youth, which play an important role under the influence of both favorable and, above all, unfavorable educational factors. extracurricular activities; (4) integrative-functional principle of application of psychohygienic components in the structure of modern health technologies, which is determined by the presence of deep relationships between individual components of the functional state and adaptive capacity of young girls and young boys, which have a complex impact on health and theoreticalу- and, mainly, practically-significant components of students’ training. Conclusions. In the course of the research the leading psychohygienic principles of using health-preserving technologies in modern modern institutions of higher education have been identified and scientifically substantiated.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126870468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Chernychenko, O. Lytvychenko, V. Babii, S. Harkavyi, N. Balenko, O.Ye. Kondratenko, D. Hlavachek
{"title":"On the issue of revising the regulatory framework for chemical carcinogens in the air according to the risk criterion","authors":"I. Chernychenko, O. Lytvychenko, V. Babii, S. Harkavyi, N. Balenko, O.Ye. Kondratenko, D. Hlavachek","doi":"10.32402/dovkil2022.02.042","DOIUrl":"https://doi.org/10.32402/dovkil2022.02.042","url":null,"abstract":"The aim of the work was to analyze the risk of carcinogenic substances in populated areas and industrial zone, included in domestic regulatory frameworks, in accordance with international qualification standards, and to determine the safety level of existing hygienic standards for humans by specific oncogenic hazard criteria. Materials and methods. Bibliosemantic, bibliographic and hygienic research methods was used in the work. The results were obtained on the basis of collection and analysis of data on chemical carcinogenic compounds that are dangerous to humans, according to international directives, domestic and foreign regulatory frameworks. Carcinogenicity indicators was identified to assess the hazards of certain substances and hygienic regulatory levels. Research results and their discussion. The analysis of national and international databases on carcinogenic compounds, assessment of their physicochemical properties, dose-effect response and health effects was carried out. It was shown that today the most recognized and widespread base of the International Agency for Research on Cancer, in which based on a critical analysis of experimental and epidemiological data of more than 1000 chemical factors, their classification was carried out according to the degree of evidence of carcinogenic hazard to humans, the hygienic expression of which is carcinogenic risk. The analysis of domestic databases of hygienic standards for the permissible content of chemicals showed that only for 131 carcinogenic substances the MPC in the air is justified, however, according to the criterion of carcinogenic risk, most of them do not meet the requirements of the EU and world practices, which indicates the need for their revision. It is emphasized that one of the available and adequate methods of this task is the principle laid down in determining the relationship \"concentration - risk (acceptable risk)\". Conclusions. It was shown that according to the criterion of carcinogenic risk, the hygienic standards of most carcinogenic substances included in domestic regulatory air bases do not meet the requirements of the EU and international practices, which indicates the need to revise them based on acceptable risk.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125141339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K.Ye. Prykashсhykova, Z. Yaroshenko, G. V. Kostiuk, V. Sirovenko, O. Olepir, V. Lukianiuk, V. M. Polianska, V.I. Sheveliova
{"title":"Psycho-emotional status of residents from radiation-polluted territories of Ukraine, born before and after the accident on the CHNPP","authors":"K.Ye. Prykashсhykova, Z. Yaroshenko, G. V. Kostiuk, V. Sirovenko, O. Olepir, V. Lukianiuk, V. M. Polianska, V.I. Sheveliova","doi":"10.32402/dovkil2022.02.025","DOIUrl":"https://doi.org/10.32402/dovkil2022.02.025","url":null,"abstract":"Objectiv. Determining the attitude of residents from radiation-contaminated areas (RCA) born before and after the Chernobyl accident to the state of their health, their social and environmental factors. Materials and methods. Analysis of the psycho-emotional state of RCA residents under the age of 18 on the date of the Chernobyl accident and those born in the post-accident period from 1987 to 1997 was conducted during their medical examination according to the program of Clinical and Epidemiological Register (CER) for adults (over 18 years). The study results of the state of psychosomatic health of RCA residents (1534 people born before the accident and 1010 people after the accident) for the post-accident period (1993-2016) were obtained during the survey. Results: The majority of RCA residents born before the Chernobyl accident said (75.75%) that they already had a disease before the Chernobyl accident. In the period after the accident, 81.01% of respondents in this group reported deterioration and a severe deterioration in health. Of this group, 40.86% of respondents attributed the loss of their health to the impact of negative factors, including: 26.78% - social and professional and only 14.08% - with the Chernobyl accident. A significant number (39.43%) had answers \"other factors\" or \"I do not know\". Living on RCA as a factor in the development of anxiety, emotional tension, deteriorating health of the residents, their relatives, children, grandchildren now and in the future, indicated only 24, 57% of respondents and 21.99% of residents did not think that this factor affects the deterioration of their health. Among the measures that can prevent the deterioration of psychosomatic health, 44.45% of residents born before the accident considered effective - medical measures (regular inpatient and spa treatment, diet, physical therapy). The majority of residents born after the accident (62.64%) rated their current health status as \"excellent\" and \"good\". Some respondents (33.59%) indicated satisfactory health and 3.79% - poor health (against 60.10% and 26.86%, respectively, among those born before the accident). More than a half of those born after the accident said that living on RCA \"does not affect\" their health. Among the social measures that can improve health and prevent the development of diseases, half of respondents (50.0%) noted long vacations and physical activities, sports. Almost half of the residents in both groups did not know or pointed to other medical and social measures to restore and maintain their health.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122816215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Surmasheva, O. Chernysh, O. Molchanets, D.D. Rakhmatullin
{"title":"Hygienic-epidemiological assessment of mycological air contamination of residential and public premises","authors":"O. Surmasheva, O. Chernysh, O. Molchanets, D.D. Rakhmatullin","doi":"10.32402/dovkil2022.02.063","DOIUrl":"https://doi.org/10.32402/dovkil2022.02.063","url":null,"abstract":"Objective: analysis of microbiological contamination of air in residential and public premises and determination of the content of mold fungi. Materials and methods: Saml'air Lite, manufactured by AES CHEMUNEX, France, was used to examine the indoor air (60) and public (63) for microbiological indicators (number of fungi and bacteria). Nutrient media were used: dense nutrient medium nutrient agar and dense nutrient medium Saburo agar with glucose and chloramphenicol. The obtained arithmetic mean number of colonies in each room was counted per 1 m3 of air. Statistical processing of the results was performed using the program STATISTICA 8, Microsoft Exel. Results: Microbiological, including mycological, indoor air contamination was studied. An average of 205 CFU/m3 of microscopic fungi and 1,073 CFU/m3 of mesophilic aerobic and facultative anaerobic microorganisms (QMAFAnM) were isolated in residential premises without visible signs of biodamage, which was 8,9 times and 2,5 times less respectively than in rooms with bio-damage, where the number of microscopic fungi was 1824 CFU/ m3, and QMAFAnM - 2730 CFU/m3. It was found that the air in the premises of the surveyed children's institutions in 45,7% of cases was classified as \"conditionally clean\" (from 200 to 500 CFU / m3 of molds), the air \"heavily polluted\" was attributed to 40,0%. In office premises, 61,5% was classified as \"conditionally clean\" in terms of the level of mold contamination. In the air environment of \"infected apartments\" the presence of the number of fungi: Aspergillus srp. 7.3 times (from 11 ± 1 to 80 ± 3 CFU / m3), Cladosporium spp. – 18,9 times (from 28 ± 3 to 530 ± 24 CFU / m3), Penicillium spp. - 5.2 times (from 212 ± 14 to 1100 ± 80 CFU / m3), Mucor spr. – 5,4 times (from 13 ± 2 to 70 ± 4 CFU / m3), Acremonium spp. – 4,8 times (from 25 ± 3 to 120 ± 10 CFU / m3) and Fusarium cpp. – 4,3 times (from 21 ± 1 to 90 ± 5 CFU / m3) compared to premises without visible signs of microscopic contamination. Conclusion. According to the results of research, it was found that in the air of residential and public premises exceeded the safe level of mold in 40% of cases.","PeriodicalId":144023,"journal":{"name":"Environment & Health","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125831178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}