The article is devoted to coronary disease in miners of deep Donbass mines. Data of its prevalence, chemical and functional features are given. Rapid progress of the disease was found to correlate with unfavourable factors of occupational environment. Mechanisms of dangerous heart rythm disorders formation during the work are shown. The main points of the programme improving the health care of miners suffering from coronary heart disease are described.
Reorganization of factory health care of Russian large industrial enterprise "Machine-building Factory" from 1994 to 2003 is described. Technical re-equipment, renovation of shop service manpower, significant increasing of scope of examinations during periodic medical check-ups, alteration of polyclinicstaff structure, implementation of target programs permitted to enhance quality of periodic medical check-ups. Indicator of identification of primary chronic pathology in professional workers during periodic medical check-ups increased more than in 2.5 times. Identification of chronic diseases at early stages resulted in increase of indicator of common morbidity of workers up to 29.7%. The most increase of identified morbidity level was established in five classes of diseases: psychic disorders (up to 3.8 times), diseases of blood and blood-forming organs (up to 2.3 times), eye and endocrine diseases (up to 2.1 times), circulatory system diseases (up to 2.0 times). Increase of identified pathology on early stages resulted in development of set of curative sanitary measures applied to workers laboring in occupation detrimental for health. So, hospital treatment increased up to 2.1 times, treatment in preventorium--up to 2.6 times and in sanatorium up to 3.3 times. To decrease infectious morbidity, workers of "Machine-building Factory" are immunized during many years. Health protection of people working in occupation detrimental to health became priority direction of factory polyclinic.
Telemedical Maritime Assistance Service (TMAS) for seafarers and traveling passengers is important and can be crucial for the optimal medical treatment on board ships. The aim of this study was to analyse and to compare the data from consultations and evacuations from merchant ships and passenger ferries for possible improvements.
Data for seafarers from 1997, 2002 and 2007 and for passengers on Swedish ferries for the years 2007, 2009, 2011 and 2012 from the Swedish Radio Medical were studied. Symptoms and diseases were classified according to the International Classification for Primary Care (ICPC-2). The distribution of symptoms, accidents and diseases, treatments/actions taken, evacuations and the communication forms were analysed.
One thousand ninety-five contacts for seafarers from merchant ships and 651 passenger patients from Swedish ferries were analysed. While the evacuations for the seafarers gradually decreased over the years from 18% in 1997 to 14% in 2007, still 39.5% of the passenger patient contacts were evacuated mainly by helicopters and 70 patients were picked up by an ambulance on the quay. Accidents were 20% for seafarers and 25% for passengers of the contacts. Evacuations for passengers were mainly in the diagnostic groups: unspecific (A), digestive (D), cardiology (K), musculoskeletal (L) and neurology (N). The use of VHF, radio communications and fax machines have been greatly reduced while the use of e-mail and satellite phone increased.
No significant differences in reasons for contact or actions over the years have been identified. The evacuations of seafarers decreased over the years but was stable among the passenger patients (39%). The circumstances and reasons behind the evacuations should be analysed for prevention. Standard forms and digital images for documentation can facilitate knowledge exchange and further studies.
The article covers up-to-date state of occupational deafness problem, its importance in occupational therapy. The authors defined topical directions of research in contemporary diagnosis, prognosis and treatment of "noise-related" deafness.